Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report
Abstract Background Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication. Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at the repair site. Case presentation A 35-year-old male presented with recurrent...
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03281-x |
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| author | Ruofan Zhou Yabo Wang Qi An |
| author_facet | Ruofan Zhou Yabo Wang Qi An |
| author_sort | Ruofan Zhou |
| collection | DOAJ |
| description | Abstract Background Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication. Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at the repair site. Case presentation A 35-year-old male presented with recurrent episodes of epistaxis and dizziness was admitted to the emergency department. He had a history of CoA repair and ventricular septal defect closure 17 years ago. Physical examination revealed elevated blood pressure. Initially, aortic dissection was suspected, but the actual diagnosis was pseudoaneurysm just distal to the left subclavian artery. Surgical intervention involved excision of the pseudoaneurysm and replacement with a new vascular graft via a dual approach of median sternotomy and left thoracotomy. Postoperative recovery was uneventful, and follow-up imaging at one month showed satisfactory aortic morphology. Conclusions This case underscores the critical role of precise imaging in differentiating pseudoaneurysms from other lesions in post-CoA repair patients. Pseudoaneurysms can present subtly yet carry substantial risks, making regular imaging follow-up essential for early detection and improved outcomes. |
| format | Article |
| id | doaj-art-5a411b732da648d7a360eae437027cfd |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-5a411b732da648d7a360eae437027cfd2025-01-05T12:45:44ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011410.1186/s13019-024-03281-xPseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case reportRuofan Zhou0Yabo Wang1Qi An2Department of Cardiovascular Surgery, West China Hospital of Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital of Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital of Sichuan UniversityAbstract Background Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication. Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at the repair site. Case presentation A 35-year-old male presented with recurrent episodes of epistaxis and dizziness was admitted to the emergency department. He had a history of CoA repair and ventricular septal defect closure 17 years ago. Physical examination revealed elevated blood pressure. Initially, aortic dissection was suspected, but the actual diagnosis was pseudoaneurysm just distal to the left subclavian artery. Surgical intervention involved excision of the pseudoaneurysm and replacement with a new vascular graft via a dual approach of median sternotomy and left thoracotomy. Postoperative recovery was uneventful, and follow-up imaging at one month showed satisfactory aortic morphology. Conclusions This case underscores the critical role of precise imaging in differentiating pseudoaneurysms from other lesions in post-CoA repair patients. Pseudoaneurysms can present subtly yet carry substantial risks, making regular imaging follow-up essential for early detection and improved outcomes.https://doi.org/10.1186/s13019-024-03281-xPseudoaneurysmCoarctation of the aortaAortic dissectionImaging diagnosisComplication |
| spellingShingle | Ruofan Zhou Yabo Wang Qi An Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report Journal of Cardiothoracic Surgery Pseudoaneurysm Coarctation of the aorta Aortic dissection Imaging diagnosis Complication |
| title | Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report |
| title_full | Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report |
| title_fullStr | Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report |
| title_full_unstemmed | Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report |
| title_short | Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report |
| title_sort | pseudoaneurysm of the descending aorta two decades after aortic coarctation repair a case report |
| topic | Pseudoaneurysm Coarctation of the aorta Aortic dissection Imaging diagnosis Complication |
| url | https://doi.org/10.1186/s13019-024-03281-x |
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