Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.

<h4>Background</h4>In some patients, local surgery-related complications are diagnosed many years after surgery for aortic coarctation. The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formatio...

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Autores principales:	Robert Juszkat, Bartlomiej Perek, Bartosz Zabicki, Olga Trojnarska, Marek Jemielity, Ryszard Staniszewski, Wiesław Smoczyk, Fryderyk Pukacki
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5498b82e4d534472853b8dfe76f0763a
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spelling	oai:doaj.org-article:5498b82e4d534472853b8dfe76f0763a2021-11-18T08:40:20ZEndovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.1932-620310.1371/journal.pone.0083601https://doaj.org/article/5498b82e4d534472853b8dfe76f0763a2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24386233/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>In some patients, local surgery-related complications are diagnosed many years after surgery for aortic coarctation. The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formation rate of secondary thoracic aortic aneurysms (TAAs) and (3) to assess outcomes after intravascular treatment for TAAs.<h4>Methods</h4>This study involved 37 asymptomatic patients (26 female and 11 male) who underwent surgical repair of aortic coarctation in the childhood. After they had reached adolescence, patients with secondary TAAs were referred to endovascular repair.<h4>Results</h4>Follow-up studies revealed TAA in seven cases (19%) (including six with the gothic type of the aortic arch) and mild recoarctation in other six (16%). Six of the TAA patients were treated with stentgrafts, but one refused to undergo an endovascular procedure. In three cases, stengrafts covered the left subclavian artery (LSA), in another the graft was implanted distally to the LSA. In two individuals, elective hybrid procedures were performed with surgical bypass to the supraaortic arteries followed by stengraft implantation. All subjects survived the secondary procedures. One patient developed type Ia endoleak after stentgraft implantation that was eventually treated with a debranching procedure.<h4>Conclusions</h4>The long-term course of clinically asymptomatic patients after coarctation patch repair is not uncommonly complicated by formation of TAAs (particularly in individuals with the gothic pattern of the aortic arch) that can be treated effectively with stentgrafts. However, in some patients hybrid procedures may be necessary.Robert JuszkatBartlomiej PerekBartosz ZabickiOlga TrojnarskaMarek JemielityRyszard StaniszewskiWiesław SmoczykFryderyk PukackiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e83601 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Robert Juszkat Bartlomiej Perek Bartosz Zabicki Olga Trojnarska Marek Jemielity Ryszard Staniszewski Wiesław Smoczyk Fryderyk Pukacki Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
description	<h4>Background</h4>In some patients, local surgery-related complications are diagnosed many years after surgery for aortic coarctation. The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formation rate of secondary thoracic aortic aneurysms (TAAs) and (3) to assess outcomes after intravascular treatment for TAAs.<h4>Methods</h4>This study involved 37 asymptomatic patients (26 female and 11 male) who underwent surgical repair of aortic coarctation in the childhood. After they had reached adolescence, patients with secondary TAAs were referred to endovascular repair.<h4>Results</h4>Follow-up studies revealed TAA in seven cases (19%) (including six with the gothic type of the aortic arch) and mild recoarctation in other six (16%). Six of the TAA patients were treated with stentgrafts, but one refused to undergo an endovascular procedure. In three cases, stengrafts covered the left subclavian artery (LSA), in another the graft was implanted distally to the LSA. In two individuals, elective hybrid procedures were performed with surgical bypass to the supraaortic arteries followed by stengraft implantation. All subjects survived the secondary procedures. One patient developed type Ia endoleak after stentgraft implantation that was eventually treated with a debranching procedure.<h4>Conclusions</h4>The long-term course of clinically asymptomatic patients after coarctation patch repair is not uncommonly complicated by formation of TAAs (particularly in individuals with the gothic pattern of the aortic arch) that can be treated effectively with stentgrafts. However, in some patients hybrid procedures may be necessary.
format	article
author	Robert Juszkat Bartlomiej Perek Bartosz Zabicki Olga Trojnarska Marek Jemielity Ryszard Staniszewski Wiesław Smoczyk Fryderyk Pukacki
author_facet	Robert Juszkat Bartlomiej Perek Bartosz Zabicki Olga Trojnarska Marek Jemielity Ryszard Staniszewski Wiesław Smoczyk Fryderyk Pukacki
author_sort	Robert Juszkat
title	Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
title_short	Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
title_full	Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
title_fullStr	Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
title_full_unstemmed	Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
title_sort	endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/5498b82e4d534472853b8dfe76f0763a
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Endovascular treatment of late thoracic aortic aneurysms after surgical repair of congenital aortic coarctation in childhood.

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