A Successful Repair of Pseudocoarctation With Associated Aortic Arch Aneurysm in an Eight-Month-Old Infant

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiology
• Medical Imaging

Background:

• Pseudocoarctation of the aorta is a rare congenital anomaly.
• Characterized by aortic arch elongation and tortuosity, often associated with aneurysms.

Purpose of the Study:

• To report a successful surgical management of pseudocoarctation of the aorta in a pediatric patient.
• To highlight the use of advanced imaging and a prosthesis-free reconstruction technique.

Main Methods:

• Prenatal diagnosis using magnetic resonance imaging.
• Postnatal confirmation with computed tomography angiography.
• Surgical resection of the aneurysmal aorta with extended end-to-end reconstruction and left subclavian artery reimplantation.

Main Results:

• The infant underwent successful aortic arch reconstruction without prosthetic material.
• Postoperative imaging confirmed no residual stenosis at six months.
• The patient experienced an uneventful recovery.

Conclusions:

• Surgical repair of pseudocoarctation of the aorta is feasible and effective in infants.
• Prosthesis-free reconstruction is a viable option for managing this condition.
• Early diagnosis and timely intervention are crucial for optimal outcomes.