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

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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 5 cm 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. © 2005 Elsevier B.V. All rights reserved.

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Unnikrishnan, M., Theodore, S., Peter, A. M., & Neema, P. K. (2005). Late thoracic aortic dissecting aneurysm following balloon angioplasty for recoarctation after subclavian flap aortoplasty in childhood - Successful surgical repair under circulatory arrest. European Journal of Cardio-Thoracic Surgery, 27(3), 520–522. https://doi.org/10.1016/j.ejcts.2004.12.029

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