scholarly journals Endovascular Treatment for Pseudoaneurysms after Surgical Correction of Aortic Coarctation

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
M. Rabellino ◽  
T. Zander ◽  
G. González ◽  
S. Baldi ◽  
H. Cheves ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Aortic Coarctation ◽  
Surgical Repair ◽  
Late Complications ◽  
Surgical Correction ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endovascular Techniques ◽  
Conventional Surgery

Late complications after surgical repair of aortic coarctation are not uncommon. Among these complications pseudoaneurysms are the most frequent complications, occurring between 3 and 38%. Reoperation in these patients is associated with high morbidity and mortality. In the last decade, endovascular techniques emerged as an alternative to conventional surgery with excellent results. We report the case of two patients who presented with pseudoaneurysms after surgical correction for aortic coarctation, which were treated by endovascular means.

scholarly journals Does age at aortic coarctation repair have an impact on left ventricle size and function?

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
S Cardoso Torres ◽  
CX Resende ◽  
PG Diogo ◽  
P Araujo ◽  
RA Pinto ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Surgical Repair ◽  
Myocardial Dysfunction ◽  
Global Longitudinal Strain ◽  
Negative Relationship ◽  
Late Complications ◽  
Left Ventricular ◽  
Funding Sources ◽  
The Mean ◽  
Clinical Records

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Adults with repaired aortic coarctation (CoA) require lifelong follow-up due to late complications, including left ventricular (LV) myocardial dysfunction. Age at the time of CoA repair is an important prognostic factor in these patients (pts). Purpose To evaluate LV size, ejection fraction (EF) and global longitudinal strain (GLS) values using 2D speckle tracking echocardiography (STE) in a population of adult pts with repaired CoA and to assess the relationship between these echocardiographic parameters and age at the time of CoA repair. Methods Retrospective analysis of adult pts with repaired CoA, followed in a Grown Up Congenital Heart Disease Centre. Pts with hemodynamically significant concomitant cardiac lesions were ruled out. Epidemiologic and clinical data were obtained from clinical records. Transthoracic echocardiograms were reviewed in order to assess GLS using 2DSTE (Echopac Software, GE). Results The study population consisted of 63 pts (61.9% male), with a mean age of 35.3 years at the time of the echocardiographic evaluation. The mean age at the time of the CoA repair was 117 months (95% CI 89.8-144.1 months). Surgical repair was performed in 46 pts (73%): resection with subclavian artery flap aortoplasty (n = 21); patch aortoplasty (n = 15) and head-to-head anastomosis (n = 10). In 10 pts there was no data regarding the type of surgical repair. Seven pts (11.1%) were submitted to percutaneous intervention (6 with aortic stent implantation and 1 with balloon aortic angioplasty). Mean LVEF was 63.4% (CI 95% 55.6 – 71.2%) and mean LV end-diastolic diameter (LVEDD) was 50mm (CI 95% 43-57mm). Mean GLS was - 17.3 (CI 95% 14.8- 19.8), which is inferior to the mean normal values reported for the software used. Age at the time of CoA repair had a statistically significant positive linear relationship with LVEDD (r= 0.282; p= 0.026) and a linear negative relationship with both GLS (r= -0,29; p= 0.022) and LVEF (r= -0.33; p= 0.05). Conclusion Older age at the time of CoA repair was associated with increased LVEDD and decreased GLS and LVEF. Also, GLS may be an important tool for the identification of subclinical LV dysfunction in adult pts with repaired CoA.

scholarly journals Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e83601 ◽  
Author(s):  
Robert Juszkat ◽  
Bartlomiej Perek ◽  
Bartosz Zabicki ◽  
Olga Trojnarska ◽  
Marek Jemielity ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Aortic Coarctation ◽  
Surgical Repair ◽  
Aortic Aneurysms ◽  
Thoracic Aortic Aneurysms

Endovascular Treatment of Long-Term Complications Following Surgical Repair of Aortic Coarctation

2010 ◽  
Vol 63 (4) ◽  
pp. 473-477
Author(s):  
Pablo García-Pavía ◽  
Javier Goicolea Ruigómez ◽  
José Ramón López-Mínguez ◽  
Pedro Fresneda Roldán ◽  
Juan Manuel Nogales Asensio ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Aortic Coarctation ◽  
Surgical Repair

scholarly journals Endovascular repair of abdominal aortic para-anastomotic pseudoaneurysm

2013 ◽  
Vol 12 (2) ◽  
pp. 180-183
Author(s):  
Leonardo Ghizoni Bez ◽  
Francesco Evangelista Botelho ◽  
Julio Cesar Arantes Maciel ◽  
Danilo Martins Cardinelli
Keyword(s):  
Endovascular Repair ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endovascular Techniques ◽  
Anastomotic Pseudoaneurysm ◽  
Abdominal Aortic ◽  
Endovascular Approach

Para-anastomotic aneurysms are either true aneurysms or pseudoaneurysms. The latter tend to be asymptomatic until rupture. Para-anastomotic aneurysms should be approached surgically, despite the high morbidity and mortality associated with their treatment. This report describes the case of a 68-year-old woman who presented with a para-anastomotic pseudoaneurysm secondary to infrarenal aortic aneurysmectomy. We chose to use an endovascular approach, and results were good. Endovascular techniques are increasingly becoming the method of choice in the treatment of anastomotic pseudoaneurysms.

scholarly journals The Effect of Aortic Coarctation Surgical Repair on QTc and JTc Dispersion in Severe Aortic Coarctation Newborns: A Short-Term Follow-Up Study

2014 ◽  
pp. 27-33
Author(s):  
G. NIGRO ◽  
V. RUSSO ◽  
A. RAGO ◽  
A. A. PAPA ◽  
N. D. CIOPPA ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Surgical Repair ◽  
Interventional Procedure ◽  
Experimental Studies ◽  
Left Ventricular ◽  
Surgical Correction ◽  
Short Term ◽  
Cardiac Malformations ◽  
Ventricular Afterload

Sudden death is a possible occurrence for newborns younger than 1 year with severe aortic coarctation (CoA) before surgical correction. In our previous study, we showed a significant increase of QTc-D and JTc-D in newborns with isolated severe aortic coarctation, electrocardiographic parameters that clinical and experimental studies have suggested could reflect the physiological variability of regional and ventricular repolarization and could provide a substrate for life-threatening ventricular arrhythmias. The aim of the current study was to evaluate the effect of surgical repair of CoA on QTc-d, JTc-d in severe aortic coarctation newborns with no associated congenital cardiac malformations. The study included 30 newborns (18M; 70±12 h old) affected by severe congenital aortic coarctation, without associated cardiac malformations. All newborns underwent to classic extended end-to-end repair. Echocardiographic and electrocardiographic measurements were performed in each patient 24 h before and 24 h after the interventional procedure and at the end of the follow-up period, 1 month after the surgical correction. All patients at baseline, 24 h and one month after CoA surgical repair did not significantly differ in terms of heart rate, weight, height, and echocardiographic parameters. There were no statistically significant differences in QTc-D (111.7±47.4 vs 111.9±63.8 ms vs 108.5±55.4 ms; P=0.4) and JTc-D (98.1±41.3 vs 111.4±47.5 vs 105.1±33.4 ms; P=0.3) before, 24 h and 1 month after CoA surgical correction. In conclusions, our study did not show a statistically significant decrease in QTc-D and JTc-D, suggesting the hypothesis that the acute left ventricular afterload reduction, related to successful CoA surgical correction, may not reduce the ventricular electrical instability in the short-term follow-up.

scholarly journals Endovascular Treatment for Pseudoaneurysms After the Surgical Repair of Aortic Coarctation

Cureus ◽  
2020 ◽  
Author(s):  
Wail Alkashkari ◽  
Faisal Al-Husayni ◽  
Mawaddah Alfouti ◽  
Rahaf Alsofyani ◽  
Sarah Alfawaz
Keyword(s):  
Endovascular Treatment ◽  
Aortic Coarctation ◽  
Surgical Repair

scholarly journals Endovascular treatment of late complications of open surgical repair in abdominal aortic and iliac segment

2018 ◽  
Vol 24 (4) ◽  
pp. 123-133 ◽  
Author(s):  
Piotr Szopiński ◽  
Eliza Pleban ◽  
Maciej Stryga ◽  
Piotr Ciostek
Keyword(s):  
Endovascular Treatment ◽  
Surgical Repair ◽  
Late Complications ◽  
Open Surgical Repair ◽  
Abdominal Aortic

scholarly journals Endovascular Repair of a Pseudoaneurysm After Multiple Open Repairs of Aortic Coarctation

2020 ◽  
Vol 47 (2) ◽  
pp. 149-151
Author(s):  
Saleh A. Alnasser ◽  
Kalyan C. Vunnamadala ◽  
Ourania A. Preventza ◽  
Joseph S. Coselli ◽  
Kim I. de la Cruz
Keyword(s):  
Endovascular Repair ◽  
Aortic Coarctation ◽  
Surgical Repair ◽  
Bypass Graft ◽  
Distal Portion ◽  
Late Complications ◽  
Safe Alternative ◽  
Pseudoaneurysm Formation ◽  
Patients At Risk ◽  
Surgical Corrections

Successful surgical repair of aortic coarctation during childhood may have major late complications such as pseudoaneurysm formation. If left untreated, pseudoaneuryms put patients at risk for morbidity and death; if treated surgically, they are associated with complications. Endovascular aortic repair, an established safe alternative to open surgical repair, is associated with encouraging outcomes and fewer complications, and it is especially feasible for patients who have undergone multiple aortic surgeries. We report the case of a 41-year-old man who underwent endovascular repair of a pseudoaneurysm after previous surgical corrections of an aortic coarctation at 6 and 14 years of age. The pseudoaneurysm, involving the distal portion of an ascending-to-descending aortic 20-mm Dacron bypass graft, was successfully excluded with a thoracic stent-graft and sealed off with vascular plugs to prevent both blood flow into the pseudoaneurysm and type II endoleak.

scholarly journals Chemical Angioplasty with Nitroglycerin for Vasospasm after Subarachnoid Hemorrhage: Case Series and Review

2022 ◽  
Author(s):  
Luana Antunes Maranha Gatto ◽  
Bruno Henrique Dallo Gallo ◽  
Gelson Luis Koppe ◽  
Zeferino Demartini
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Vasospasm ◽  
Delayed Cerebral Ischemia ◽  
Case Series ◽  
External Ventricular Drainage ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endovascular Techniques ◽  
Risks And Benefits ◽  
Potent Vasodilator

Abstract Introduction Vasospasm is a common and potentially devastating complication in patients with subarachnoid hemorrhage, causing high morbidity and mortality. There is no effective and consistent way to prevent or treat cerebral vasospasm capable of altering the morbidity and mortality of this complication. Animal and human studies have attempted to show improvement in aneurysmal vasospasm. Some sought their prevention; others, the treatment of already installed vasospasm. Some achieved only angiographic improvement without clinical correlation, others achieved both, but with ephemeral duration or at the expense of very harmful associated effects. Endovascular techniques allow immediate and aggressive treatment of cerebral vasospasm and include methods such as mechanical and chemical angioplasty. These methods have risks and benefits. Objectives To analyze the results of chemical angioplasty using nitroglycerin (GTN). In addition, to perform a comprehensive review and analysis of aneurysmal vasospasm. Methods We describe our series of 77 patients treated for 8 years with angioplasty for vasospasm, either mechanical (with balloon), chemical (with GTN) or both. Results Eleven patients received only balloon; 37 received only GTN; 29 received both. Forty-four patients (70.1%) evolved with delayed cerebral ischemia and 19 died (mortality of 24.7%). Two deaths were causally related to the rupture of the vessel by the balloon. The only predictors of poor outcome were the need for external ventricular drainage in the first hours of admission, and isolated mechanical angioplasty. Conclusions Balloon angioplasty has excellent results, but it is restricted to proximal vessels and is not without complications. Chemical angioplasty using nitroglycerin has reasonable but short-lived results and further research is needed about it. It is restricted to vasospasm angioplasties only in hospitals, like ours, where better and more potent vasodilator agents are not available.

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