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Magnetic resonance in the detection and review of aortic aneurysms following surgical repair of aortic coarctation

Published online by Cambridge University Press:  19 August 2008

Alison M. Hayes ,
Edwards J. Baker ,
Ian Murdoch  and
Michael L. Rigby
Alison M. Hayes*
Affiliation:
Royal Brompton National Heart and Lung Hospital and Guy's Hospital, London
Edwards J. Baker
Affiliation:
Royal Brompton National Heart and Lung Hospital and Guy's Hospital, London
Ian Murdoch
Affiliation:
Royal Brompton National Heart and Lung Hospital and Guy's Hospital, London
Michael L. Rigby
Affiliation:
Royal Brompton National Heart and Lung Hospital and Guy's Hospital, London
*
Dr. Alison Hayes, Royal Brompton National Heart and Lung Hospitals, Sydney Street, London SW3 6NP, United Kingdom. Tel. 07 1-352 8121.
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Summary

Formation of aortic aneurysms is an important and not infrequent sequel of surgical repair of aortic coarctation. Detection is often haphazard and fatal ruptures are reported. We report a series of cases where resonance imaging identified aneurysmal dilatation of the thoracic aorta after either patch aortoplasry or subclavian flap repair of aortic coarctation. In one, rupture of the aneurysm occurred five months following the initial resonance study. Repeat imaging confirmed the clinical suspicion of rupture and successful surgical resection was subsequently performed. Magnetic resonance is a practical and reproducible imaging technique which is particularly valuable in the identification of abnormalities within the thoracic aorta following surgical aortoplasty or interventional procedures for aortic coarctation. As a method of routine surveillance in these groups of patients, it is superior to any alternative technique.

Keywords

cardiac surgeryimagingaortic coarctation
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 60 - 63
Copyright
Copyright © Cambridge University Press 1993

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