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Unusual Presentation of Large Aortic Arch Aneurysms Associated with Aortic Coarctation in a 15-Year-Old Girl

Tuesday, February 3, 2015

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.


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.

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