Preprocedural aneurysmal dilatation in aortic coarctation: a rare case report

Late complications following surgical repair of aortic coarctation may include hypertension, aortic valve disease, coronary artery disease, aneurysm formation, and recoarctation. However, preprocedural aneurysmal dilatation is rarely reported.

We report the case of an 11-year-old male with severe aortic coarctation and a giant aneurysm identified prior to any surgical or interventional treatment. Takayasu's arteritis was ruled out, and the patient underwent successful percutaneous placement of a covered stent. Post-procedure, he showed no residual gradient or aneurysmal lesion.

This case highlights a rare presentation of aneurysmal dilatation occurring prior to any intervention for aortic coarctation and supports the efficacy of covered stent placement as a safe and effective therapeutic option.