Management of a large pseudoaneurysm secondary to balloon angioplasty for aortic coarctation

Ali Kubilay Korkut,

Ali Kubilay Korkut¹, Gürkan Çetin¹, Özge Köner², Levent Saltık³, İlhan Günay¹

¹Departments of Cardiovascular Surgery İstanbul University Haseki Cardiology Institute, İstanbul
²Departments of Anesthesiology, İstanbul University Haseki Cardiology Institute, İstanbul
³Department of Pediatric Cardiology, Cerrahpaşa Medical Faculty of İstanbul University, İstanbul

Balloon dilation of native aortic coarctation has been employed safely and effectively in selected patients, with good results during follow-up. However, pseudoaneurysm formation at the site of dilatation occurs in about 2% to 8% of the cases. Although the majority of these pseudoaneurysms remain stable, they may occasionally increase in size during follow-up, having potential risks for rupture, massive bleeding, and even death. We report a nine-year-old child who developed an aneurysm after balloon dilation of native coarctation of the aorta and was successfully treated with interposition of tube graft. The patient was discharged on the sixth postoperative day without a complication.

Keywords : Aneurysm, false; angioplasty, balloon/complications; aortic coarctation/surgery; heart catheterization

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