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Ann Thorac Surg 2003;75:530-533
© 2003 The Society of Thoracic Surgeons

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Original article: cardiovascular

Endoluminal repair of aneurysms associated with coarctation

^a Department of General and Vascular Surgery, Guy’s and St. Thomas’ Hospital, London, United Kingdom
^b Department of Cardiothoracic Surgery, Guy’s and St. Thomas’ Hospital, London, United Kingdom
^c Department of Radiology, Guy’s and St. Thomas’ Hospital, London, United Kingdom

Accepted for publication August 21, 2002.

* Address reprint requests to Dr Taylor, Department of General and Vascular Surgery, Guy’s and St. Thomas’ Hospital, Lambeth Palace Rd, London, SE1 7EH, UK
e-mail: taylorvasc{at}aol.com

BACKGROUND: Late aneurysm formation is a well-recognized complication of surgery for aortic coarctation. Open surgery to repair these aneurysms is associated with significant morbidity and mortality. Endoluminal repair is an attractive alternative to open surgery.

METHODS: Data were collected prospectively on consecutive patients who presented with aneurysms associated with coarctation

RESULTS: Between June 1999 and October 2001, 5 patients underwent elective endoluminal repair for coarctation aneurysms. All procedures were technically successful and no patients died. Four patients previously had open surgery to repair aortic coarctation, and 1 presented with an aneurysm associated with a previously unrecognized coarctation. The median follow-up was 7 months (range, 3 to 29 months), and to date, all aneurysms remain excluded.

CONCLUSIONS: Endoluminal repair is a promising alternative to redo open surgery for thoracic aneurysms associated with previous surgery for aortic coarctation. Long-term follow-up is required to assess the durability of the stent grafts.

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