The authors present the unusual case of a previously fit and well 15-year-old girl. She developed a hoarse voice and was found to have a heart murmur. On subsequent investigation, she was found to have two large thoracic aortic aneurysms associated with a moderate coarctation. The patient underwent surgical correction through a left thoracotomy, deep hypothermic circulatory arrest, and aneurysm resections. The aortic arch was reconstructed with an interposition graft and re-implantation of the left subclavian artery. Pre-operative and post-operative genetic tests did not reveal the presence of connective tissue disorders. The post-operative course was uneventful. At the one-year follow-up, the patient remained asymptomatic and normotensive without medical treatment.
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Unusual Presentation of Large Aortic Arch Aneurysms Associated with Aortic Coarctation in a 15-Year-Old Girl
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Extremely slick surgeon who makes this complex repair look so easy.A highly skilled team with a good outcome
Congratulations. Excellent work. This week I operated two cases-one was coarctation with fusiform aneurysm with tubular hypoplasia and another type B dissection extended upto T7 level. Both the cases we operated with ascending aorta to descending aorta shunt using EUOPA cannulae without CPB. Both the patients are recovering well. I will submit the video after discharge with followup CT angio.
Thank you for your nice comments. It will be very interesting to see your cases and how you do it without CPB.