Late thoracic aortic dissecting aneurysm following balloon angioplasty for recoarctation after subclavian flap aortoplasty in childhood–successful surgical repair under circulatory arrest

Unnikrishnan, Madathipat; Theodore, Sanjay; Peter, Arun Mathew; Neema, Praveen Kumar
March 2005
European Journal of Cardio-Thoracic Surgery;Mar2005, Vol. 27 Issue 3, p520
Academic Journal
Abstract: Balloon angioplasty is universally accepted presently as the primary therapeutic strategy for recoarctation following surgery during infancy and early childhood. This report concerns a 26-year-old lady with cephalobrachial hypertension on β-blocker who presented with left sided chest pain since 3 months, having undergone surgery for coarctation in early childhood and balloon angioplasty at 17 years of age. Chest X-ray showed prominent aortic knuckle. CT scan chest showed features of residual coarctation with ‘double-barrelled’ upper thoracic aorta of 5cm diameter. Surgery consisted of interposition graft repair of distal arch and upper thoracic aorta under total circulatory arrest through posterolateral thoracotomy leading to excellent recovery.


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