CT-Guided Endovascular Exclusion of Pseudoaneurysmal Subclavian Bypass After Early-Age Surgical Correction of Complex Aortic Coarctation

Lamees I El Nihum; Zhongyu Li; Ponraj Chinnadurai; Charudatta S Bavare; Michael J Reardon; Thomas E MacGillivray; C Huie Lin

doi:10.1016/j.jaccas.2020.11.026

CT-Guided Endovascular Exclusion of Pseudoaneurysmal Subclavian Bypass After Early-Age Surgical Correction of Complex Aortic Coarctation

JACC Case Rep. 2021 Feb 3;3(2):225-229. doi: 10.1016/j.jaccas.2020.11.026. eCollection 2021 Feb.

Authors

Lamees I El Nihum¹, Zhongyu Li², Ponraj Chinnadurai³, Charudatta S Bavare², Michael J Reardon², Thomas E MacGillivray², C Huie Lin²

Affiliations

¹ Texas A&M College of Medicine, Bryan, Texas, USA.
² DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
³ Siemens Medical Solutions USA, Inc., Malvern, Pennsylvania, USA.

Abstract

We describe a 64-year-old woman with subclavian pseudoaneurysm after aortic coarctation repair, treated using a hybrid approach involving true three-dimensional analysis and image fusion-guided placement of thoracic endovascular aortic repair stents. This case illustrates the potential complications of coarctation repair and need for lifelong surveillance in these patients. (Level of Difficulty: Advanced.).

Keywords: 3D, three-dimensional; BAV, bicuspid aortic valve; CTA, computed tomography angiography; LCCA, left common carotid artery; LSCA, left subclavian artery; TEVAR, thoracic endovascular aortic repair; aortic coarctation; bicuspid aortic valve; computed tomography; congenital heart defect; hybrid imaging; stents; three-dimensional imaging.

Publication types

Case Reports