View article

Aortic coarctation surgery is associated with a late risk of aneurysm formation. This is particularly seen with patch aortoplasty repair. These aneurysms have a high risk of rupture in the long term as they are frequently false aneurysms. Redo surgery carries significant morbidity and mortality. We describe our experience in treating congenital patients with coarctation-related aortic lesions via endovascular stent grafting and complimentary transcatheter techniques.

Between September 2006 and February 2011, 14 patients with congenital lesions had endovascular or transcatheter descending aortic interventions. 13 received stent grafting with the Medtronic Valiant system with two of these receiving associated vascular closure with the Amplatzer Vascular Plug (AVP 2). One patient had aneurysm closure with the combination of an Amplatzer septal occluder device and vascular occlusion coils. Data …