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Saccular “Cauliflower” aneurysm of coarctation of aorta: a hybrid management

Published online by Cambridge University Press:  03 August 2020

Neha Bansal Open the ORCID record for Neha Bansal [Opens in a new window] ,
Thomas J. Forbes  and
Sanjeev Aggarwal
Neha Bansal*
Affiliation:
Division of Pediatric Cardiology, Children’s Hospital at Montefiore, Bronx, NY, USA
Thomas J. Forbes
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA
*
Author for correspondence: Neha Bansal, MD, Division of Pediatric Cardiology, Children’s Hospital at Montefiore, 3415 Bainbridge Ave- R1, Bronx, NY10467, USA. Tel.: +1 718-741-2313; Fax: +1 (718) 920 4351. E-mail: nbansal@montefiore.org
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Abstract

Aneurysm formation around the site of coarctation of aortic arch is a well-recognised complication of untreated coarctation and is associated with an increased risk of aortic rupture and mortality. We present a rare case in a teenage girl with the combination of significant aortic arch coarctation, a “cauliflower-like” saccular aneurysm, and stenosis at the origin of the left subclavian artery. She was successfully managed with a hybrid approach, which is a combination of an endovascular surgical repair (a bypass graft placement from left carotid artery to subclavian artery by a vascular surgeon) and a transcatheter covered stent placement across the stenosis and aneurysm. This case highlights the successful role of a hybrid approach in patient’s who present with a combination of coarctation of the aorta and aortic arch aneurysms. This approach avoids the conventional surgical aortoplasty, which carries a higher mortality and morbidity risk in teenage patients.

Keywords

Coarctation of aortasaccular aneurysmhybrid
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 9 , September 2020 , pp. 1360 - 1362
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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