1/158. A single-stage operation for bicuspid aortic valve, annulo-aortic ectasia, hypoplastic aortic arch, and coarctation of the aorta: A case report.The patient was an 18-year-old man who had been diagnosed as having a bicuspid aortic valve and dilatation of the ascending aorta six years previously. As he grew up, aneurysmal change of the ascending aorta and hypertension in the upper body gradually progressed. Preoperative evaluation showed annulo-aortic ectasia and the following congenital abnormalities: bicuspid aortic valve, hypoplastic aortic arch, and coarctation of the aorta. Composite graft replacement and extended total aortic arch replacement were carried out.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/158. Aneurysm after subclavian flap angioplasty repair of coarctation of the aorta.We report a case of aortic aneurysm at the site of subclavian flap angioplasty repair for coarctation of the aorta. The dilatation involved the lateral wall of the proximal descending aorta that had been constructed by the flap. Five other similar cases have been reported in the literature. Diligent long-term follow-up is needed after surgical repair of coarctation of the aorta to detect late complications such as restenosis or aneurysm formation.- - - - - - - - - - ranking = 2keywords = aneurysm (Clic here for more details about this article) |
3/158. One step surgical repair of type II acute aortic dissection and aortic coarctation.It is presented the case of acute type II aortic dissection in a patient with aneurysmal ascending aorta, hypoplastic arch and isthmic coarctation. One single step replacement of the ascending aorta, arch and the isthmus was performed by ensuring simultaneous optimal perfusion above and below the coarctation through the femoral and subclavian artery.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
4/158. Congenital subclavian aortic steal syndrome: hypoplastic aortic arch with severe coarctation of the aorta of unusual location.An unusual case of subclavian-aortic steal syndrome in a pediatric patient with hypoplastic aortic arch with coarctation of the aorta of unusual location is described. aortography showed hypoplasia of the arcus aorta and severe coarctation proximal to the left subclavian artery associated with an aneurysm formation on the isthmus and descending aorta. The enlargement of the arcus aorta was accomplished by prosthetic patch aortoplasty extending from the ascending to descending aorta via median sternotomy using cardiopulmonary bypass and moderate hypothermia. Postoperatively, the patient is doing well with equalized blood pressure.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
5/158. Left cervical aortic arch with aortic coarctation and saccular aneurysm.Cervical aortic arch is a very rare malformation and is occasionally accompanied by other cardiovascular anomalies. A 48-year-old male patient had a left cervical aortic arch with aortic coarctation and saccular aneurysm distal to the coarcted segment. The major clinical manifestations were upper body hypertension with a 50-mmHg discrepancy between the upper and lower limbs and a loud continuous murmur in the upper chest and back. magnetic resonance angiography successfully depicted the anomalous aorta, and the aortic coarctation and aneurysm were surgically resected and the thoracic aorta was reconstructed. The discrepancy in blood pressure diminished after the operation, but antihypertensive medication was continued to satisfactorily control the hypertension.- - - - - - - - - - ranking = 6keywords = aneurysm (Clic here for more details about this article) |
6/158. Treatment of abdominal aortic pseudoaneurysm with covered stents in a pediatric patient.An occasional complication of redilating stents placed in children is false aneurysm. We report the use of covered stents to treat a false aneurysm of the abdominal aorta in an adolescent girl with neurofibromatosis and abdominal coarctation of the aorta.- - - - - - - - - - ranking = 8.2653006745228keywords = aneurysm, pseudoaneurysm (Clic here for more details about this article) |
7/158. endarteritis and false aneurysm complicating aortic coarctation.We report a tricky case of endocarditis because of the localization, aortic coarctation, and the pathogenic bacteria actinobacillus actinomycetemcomitans. Furthermore, we underline the leading role of transesophageal echocardiography in the diagnosis of aortic endarteritis. First, aortitis was treated with antibiotics and, second, successfully operated on.- - - - - - - - - - ranking = 4keywords = aneurysm (Clic here for more details about this article) |
8/158. Balloon angioplasty of native coarctation of the aorta in infants and neonates: is it worth the hassle?Balloon angioplasty (BA) for native coarctation of the aorta (CA) in infants and neonates remains controversial with a high incidence of restenosis. The purpose of this study is to analyze our acute and midterm results for BA of native CA in infants and neonates and try to identify factors that may be predictive of outcome. Between September 1991 and June 1999, 17 patients with CA underwent BA at a median age of 3 months (range 2 weeks--9 months) and median weight of 4.8 kg (range 2.8--7 kg). Fourteen patients had discrete CA and 3 had tubular hypoplasia. All patients were hemodynamically stable prior to BA and no patients had critical coarctation requiring prostaglandin E(1) infusion to maintain ductus arteriosus patency. Seven patients had other associated cardiac defects. All patients had significant initial improvement. The mean peak systolic gradient across the CA improved from 43 /- 15 mmHg to 10 /- 8 mmHg (p < 0.001), and the mean minimum diameter of the aortic lumen increased from 2.4 /- 0.9 mm to 5.2 /- 1.0 mm (p < 0.001). There was no mortality or major complication. At median follow-up interval of 2.7 years (0.15-7.75 years), 10 (59%) of 17 patients are clinically well and have an upper to lower limb systolic blood pressure difference of <20 mmHg. Seven (41%) of 17 patients developed significant restenosis (5 of these patients underwent repeat BA, which was successful in 3 patients). Four (24%) patients underwent surgical repair at a median age of 4.5 months (3--6.9 months) and a median time interval of 4 months (2--6.5 months) from the initial BA. All 3 patients with tubular hypoplasia type of CA underwent surgical repair. No patients developed aortic aneurysm following initial or repeat BA. All patients who underwent surgical repair were 1 month or less in age at the time of their initial BA. We conclude that BA of native CA in infants and neonates can be performed safely with low mortality and morbidity. It appears to offer the best results in patients who are older than 1 month with discrete CA and a well-developed aortic arch. Further restenosis of the discrete CA can be managed successfully by repeat BA.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
9/158. aortic aneurysm following subclavian flap repair: diagnosis by magnetic resonance imaging.aortic aneurysm following subclavian flap repair of coarctation of the aorta is thought to occur infrequently. We present a case in which aneurysm of the subclavian flap was found 10 years after the original surgery. The location and extent of the aneurysm was clearly defined using cardiac magnetic resonance imaging (MRI). This report adds further support to recent recommendations to make cardiac MRI a routine imaging study for all postoperative patients from coarctation of the aorta repair.- - - - - - - - - - ranking = 7keywords = aneurysm (Clic here for more details about this article) |
10/158. Interventional and surgical management of aortic stenosis and coarctation.Two patients, aged 42 and 44 years old, presented with the combination of aortic valve stenosis and coarctation. To avoid potential problems associated with one stage repair, both patients underwent successful endovascular stent implantation for coarctation followed within 2 weeks by aortic valve replacement using pulmonary autografts (Ross operation). Spiral thoracic computed tomographic scans were performed within 1 week of stent implantation to ensure the absence of aneurysm formation related to the stent before cardiopulmonary bypass.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
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