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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction
Lisheng Lin1, Masakazu Abe2, Masaki Tominaga3
1Department of Pediatric Cardiology, Ibaraki Children's Hospital, Mito, Japan; Department of Child Health, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Case Summary:
A neonate with an interrupted aortic arch type A underwent successful neonatal arch reconstruction. Preoperative computed tomography demonstrated a retroesophageal descending aorta coursing on the right side of the vertebral body. Follow-up imaging 8 months after surgery unexpectedly demonstrated complete relocation of the descending aorta to the left side of the vertebral body. An altered aortic course was confirmed by catheter angiography.
Take-Home Message:
Postoperative remodeling of the retroesophageal descending aorta may occur after neonatal arch reconstruction and should be recognized during postoperative imaging assessment.
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