Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-23T03:36:03.478Z Has data issue: false hasContentIssue false
  • English
  • Français

Sudden death 10 years after patch aortoplasty for coarctation

Published online by Cambridge University Press:  19 August 2008

Michael Hauser ,
James pollock  and
Neil Wilson
Michael Hauser*
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
James pollock
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
Neil Wilson
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
*
Dr Michael Hauser, German Heart Centre Munich, Department of Paediatric Cardiology, Lazarettstr. 36, D-80636 Munich, Germany. Tel: 089 1218 2305, Fax: 089 1218 2303
Get access Rights & Permissions [Opens in a new window]

Abstract

A 25-year-old man died 10 years after a Dacron patch was used to repair a coarctation of the aorta. Death was due to rupture of an unrecognized aneurysm at the site of the patch. After the initial operation at the age of 15 years, there had been no signs of residual or recurrent obstruction. He had no evidence of hypertension and was discharged some years later from regular hospital follow-up to the care of his general practitioner. We strongly recommend that patients who have undergone repair of aortic coarctation by patch aortoplasty should have lifelong follow-up in cardiac units with imaging facilities for monitoring aortic dilation. We would now recommend surgical intervention in the presence of progressive aortic dilation.

Keywords

Coarctationarrotarupturesudden death
Type
Brief Report
Information
Cardiology in the Young , Volume 8 , Issue 3 , July 1998 , pp. 383 - 385
Copyright
Copyright © Cambridge University Press 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Fyler, CD (ed.), in Nadas, Pediatric Cardiology. Hanley & Belfus, Philadelphia, 1992: 535–556.Google Scholar
2.Bobby, JJ, Emami, JM, Farmer, RDT, Newman, CGH. Operative survival and 40 year follow up of surgical repair of aortic coarctation. Br Heart J 1991; 65: 271–276.CrossRefGoogle ScholarPubMed
3.Presbitero, P, Demaire, D, Villani, M, Actis Perinetto, E, Riva, G, Orzan, F, Bobbio, M, Morea, M, Brusca, A. Long term results (15–30 years) of surgical repair of aortic coarctation. Br Heart J 1987; 57: 462–467.CrossRefGoogle ScholarPubMed
4.Rheuban, KS, Gutgesell, HP, Carpenter, MA, Jedeikin, R, Damman, JF, Kron, IL, Wellons, J, Nolan, SP. Aortic aneurysm after patch angioplasty for aortic isthmic coarctation in childhood. Am J Cardiol 1986; 58: 178–180.CrossRefGoogle ScholarPubMed
5.McGoldrick, JP, Brown, IW, Ross, DN. Coarctation of aorta: late aneurysm formation with Dacron onlay patch grafting. Ann Thorac Surg 1988; 45: 89–90.CrossRefGoogle ScholarPubMed
6.Vosschulte, K. Isthmusplastik zur Behandlung der aorten Isthmusstenose. Thoraxchirurgie 1957; 4: 443–450.Google Scholar
7.Bromberg, BI, Beekman, RH, Rocchini, AP, Snider, AR, Bank, E. Aortic aneurysm after patch aortoplasty repair of coarctation: a prospective analysis of prevalence, screening tests and risks. J Am Coll Cardiol 1989; 14: 734–741.CrossRefGoogle ScholarPubMed
8.Kinley, CE, Marble, AE. Compliance: a continuing problem with vascular grafts. J Cardiovasc Surg 1980; 21: 163–170.Google ScholarPubMed
9.Abbott, WM, Cambria, RP. Control of physical characteristics of vascular grafts. In Stanley, JC, Burkel, WE, Lindenauer, SM, Bartlett, RH and Turcotte, JC (eds), Biologic and Synthetic Prostheses. Grune & Stratton, New York: 1982; 206–214.Google Scholar
10.Mendelson, AM, Crowley, DC, Lindauer, A, Beekman, RH. Rapid progression of aortic aneurysms after patch aortoplasty repair of coarctation of the aorta. J Am Coll Cardiol 1992, 20: 381–385.CrossRefGoogle Scholar