[Endovascular Repair for Ruptured Thoracic Aortic Aneurysm Long after Surgery for Coarctation of the Aorta:Report of a Case].

Abstract

Previous reports have described cases of aneurysm forming at the repair site of coarctation of the aorta (CoA) decades after initial surgery. We herein report a case of endovascular repair for a ruptured aortic aneurysm that occurred at the repair site of CoA 23 years after the initial surgery. The patient was a 37-year-old man who presented to our hospital for hemoptysis. He previously underwent aortoplasty with direct suture for CoA at the age of 14 years. Computed tomography (CT) revealed a ruptured descending aortic aneurysm with perforation into the left lung;the location of the aneurysm coincided with the site of the previous CoA repair. He underwent emergent thoracic endovascular aortic repair. The postoperative course was uneventful, and the aneurysm was remained stable for over a year after the surgery.