Necessity of life-long follow-up after surgery for coarctation of the aorta: a case series of very late false aneurysm formation

Abstract Background Coarctation of the aorta accounts for 5–7% of congenital defects of the heart and great vessels. It requires treatment in the form of open surgical or percutaneous repair. Common long-term complications include re-stenosis and aneurysm formation. The formation of a false aneurysm...

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Bibliographic Details
Published in:European heart journal : case reports 2022-02, Vol.6 (2), p.ytac073
Main Authors: Somers, Tim, Nies, Hedwig M J M, van Kimmenade, Roland R J, Bosboom, Dennis G H, Geuzebroek, Guillaume S C, Morshuis, Wim J
Format: Article
Language:English
Subjects:
Aneurysms
Aortic coarctation
Birth defects
Case Series
Complications and side effects
Genetic disorders
Heart
Heart diseases
Risk factors
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Summary:Abstract Background Coarctation of the aorta accounts for 5–7% of congenital defects of the heart and great vessels. It requires treatment in the form of open surgical or percutaneous repair. Common long-term complications include re-stenosis and aneurysm formation. The formation of a false aneurysm is a complication with a significant morbidity and mortality. Case summary We reviewed six cases of late false aneurysm after repair of a coarctation of the aorta. Our six cases developed a false aneurysm after an open surgical repair of a coarctation more than 30 years after initial surgical repair. All aneurysms were located at the aortic repair site. Discussion The symptoms or risk factors in the described cases are not uniform and are difficult to include in a general follow-up protocol. Guidelines recommend frequent evaluation, but do not specify duration or intervals of imaging follow-up. Our cases support the necessity of life-long follow-up in patients with open aortic repairs irrespective of symptomatology.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytac073