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Concomitant percutaneous treatment of aortic coarctation and associated intercostal aneurysms: pre-procedural

Sarosh P Batlivala1, Jonathan J Rome1

  • 11Division of Cardiology,The Children's Hospital of Philadelphia,Department of Pediatrics,Perelman School of Medicine at the University of Pennsylvania,Philadelphia,Pennsylvania,United States of America.

Cardiology in the Young
|June 20, 2015
PubMed

Insights

Intercostal aneurysms frequently accompany aortic coarctation. Treating both conditions during a single catheterization procedure is a safe and effective strategy, preventing serious complications.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Intercostal aneurysms are linked to aortic coarctation, though their cause is unclear, possibly involving vascular disease and abnormal blood flow.
  • Aortic coarctation is a congenital heart defect causing narrowing of the aorta, often diagnosed in adulthood.

Observation:

  • Two patients with coarctation and intercostal aneurysms underwent simultaneous treatment.
  • Aneurysms were identified via pre-catheterization imaging and occluded during the coarctation repair procedure.

Findings:

  • The combined catheterization procedure for coarctation and intercostal aneurysms was successful with no complications.
  • Both patients showed no residual coarctation at follow-up, indicating successful treatment.

Implications:

  • Intercostal aneurysms associated with coarctation pose risks of rupture, paralysis, and death.
  • Early identification and endovascular occlusion of these aneurysms during coarctation repair offer a viable treatment approach.
  • Advanced imaging like CT and MRI can aid in planning this combined therapeutic strategy.

Keywords:
CHDCoarctation of the aortaaneurysmcollateral arteries

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