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lüll TEVAR in patients with late complications of aortic coarctation repair Midulla M; Dehaene A; Godart F; Lions C; Decoene C; Serge W; Koussa M; Rey C; Prat A; Beregi JPJ Endovasc Ther 2008[Oct]; 15 (5): 552-7PURPOSE: To review the use of thoracic endovascular aortic repair (TEVAR) for late pseudoaneurysm formation after surgical repair of aortic coarctation. METHODS: From May 2001 to May 2005, 8 patients (5 men; mean age 47.6 years, range 18-73) with a history of aortic coarctation repairs 17 to 40 years prior were referred to our institution for an anastomotic thoracic pseudoaneurysm. TEVAR was performed successfully in 7 patients; 1 died of suspected aneurysm rupture before the scheduled procedure. A carotid-subclavian bypass was performed in 3 patients. RESULTS: All the procedures were immediately successful. No type I endoleaks were seen on the final control angiogram, but 2 of the patients with carotid-subclavian bypasses required additional left subclavian artery embolization due to type II endoleak. One of these patients died before embolotherapy on the 5th postoperative day from presumed aneurysm rupture (14% 30-day mortality rate). Over a follow-up period ranging from 15 to 72 months (mean 37), all the false aneurysms have remained thrombosed and the mean diameter has decreased from 44 to 23 mm. No endograft-related complications have occurred, and no further interventions have so far been necessary. CONCLUSION: TEVAR is a feasible alternative treatment for patients who have already undergone surgical repair of aortic coarctation. Technical issues regarding the endovascular strategy should be discussed with a multidisciplinary team to define the correct interventional plan.|*Aorta, Thoracic[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Aneurysm, False/*surgery[MESH]|Aortic Coarctation/*surgery[MESH]|Aortic Diseases/*surgery[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Minimally Invasive Surgical Procedures/methods[MESH]|Postoperative Complications/*surgery[MESH]|Time Factors[MESH]|Vascular Surgical Procedures/methods[MESH]|Young Adult[MESH] |