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Eur J Cardiothorac Surg 2005;27:520-522
© 2005 Elsevier Science NL

Case report

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

Madathipat Unnikrishnana,*, Sanjay Theodorea, Arun Mathew Petera, Praveen Kumar Neemab

a Department of Cardio-Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695 011, India
b Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695 011, India

Received 17 September 2004; received in revised form 3 December 2004; accepted 17 December 2004.

* Corresponding author. Tel.: +91 47 1252 4463; fax: +91 47 1244 6433. (E-mail: unni{at}sctimst.ac.in).

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 ß-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.

Key Words: Aortic recoarctation • Balloon angioplasty • Dissecting thoracic aortic aneurysm • Total circulatory arrest






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.