Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report
- *Corresponding Author:
- Mitchell Julia
Department of Cardiovascular and Congenital Surgery
Louis Pradel Hospital, Bron, Lyon, France
Tel: 33-825-08-25- 69
E-mail: [email protected]
Received Date: December 23, 2015; Accepted Date: January 05, 2016; Published Date: January 20, 2016
Citation: Makani S, Julia M, Metton O, Pozzi M, Di Filippo S, et al. (2016) Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report. J Vasc Med Surg 4:246. doi: 10.4172/2329-6925.1000246
Copyright: © 2016 Makani S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Aortic pseudocoarctation is a rare congenital anomaly characterized by elongation and deformity of the aortic arch and is known to be associated with aneurysmal formation. Several studies unite to say it leads to a surgical sanction as soon as symptomatic or associated with aneurysms of the aortic arch. Our patient is a 12 years old boy, followed since birth for a little tight pseudocoarctation with a cervical aortic arch and transverse aortic arch hypoplasia. Close clinical and Para clinical monitoring including angioscans, showed the gradual enlargement of the superior mediastinum, in relation with the appearance of three aneurysms of the aortic arch. The intervention, performed by sternotomy, has consisted of the resection of the aneurysmal area and the interposition of a Dacron tube to repair the aortic arch and the implantation of the left subclavian artery into the left carotid artery. The postoperative course was uneventful. Management of pseudocoarctation associated with cervical aortic arch and aneurysms remains surgical. Close monitoring of patients with pseudocorctation, seems to be essential to avoid fatal complications such as aneurysmal rupture.