Percutaneous treatment of late-aortic pseudoaneurysm resulting from surgical repair of aortic coarctation
Aslam MS, Haddadian B, Bajwa T. Percutaneous treatment of late-aortic pseudoaneurysm resulting from surgical repair of aortic coarctation. Catheter Cardiovasc Interv. 2011 Oct 1;78(4):619-24.
We describe the case of a 38-year-old woman who presented with symptoms of chest pain and shortness of breath that had worsened over the previous 6 months and was found to have a large pseudoaneurysm (PSA) of the thoracic aorta. She underwent surgical repair of aortic coarctation at the age of 16 and a revision of her bypass graft at age 28 when she presented with hemoptysis due to aortic PSA and aortobronchial fistula. Our cardiothoracic surgical team deemed a third surgery very high risk; therefore, she was referred to us for percutaneous repair of aortic PSA. We describe the successful treatment of the PSA using a technique of microcoil embolization and Amplatzer® vascular plug (AGA Medical Corp., Plymouth, MN).