Y. Sakakibara et al., Late aneurysm of the distal aortic arch after repair of aortic interruption - A case report, JPN HEART J, 40(4), 1999, pp. 497-501
Aneurysm formation after aortic coarctation repair is not a rare complicati
on of post-coarctation of aorta repair. We describe the case of a 43-year-o
ld woman who had undergone repair of an isolated interruption of the aortic
arch 30 years earlier, who came to our hospital with progressive chest pai
n, cough and dyspnea. A giant aortic aneurysm was revealed in the distal ao
rtic arch by CT study. The patient underwent aneurysmectomy with total aort
ic arch replacement using a Dacron graft through redo median sternotomy. An
embryologic explanation of this patient's anomaly and the previous surgica
l procedure are discussed for defining this rare clinical condition.