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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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Aortic aneurysm 31 years after coarctation repair with direct anastomosis : surgical repair avoiding circulatory arrest.

BACKGROUND: Despite primary success, 9% of patients develop aortic (pseudo)aneurysms after surgical repair of aortic coarctation at or near the site of repair late after operation. CASE STUDY: A chest X-ray in a 32-year-old asymptomatic man, 31 years after coarctation repair, depicted a ballooning of the distal aortic arch. A multislice CT confirmed an aneurysm. The aneurysm was resected using selective head perfusion. CONCLUSION: At follow-up of patients after coarctation repair, one should anticipate aneurysm formation, even decades after successful surgery and even if clinically silent. Therefore, the chest X-ray should be part of the follow-up examination. Deep hypothermic circulatory arrest can be avoided in selected patients.[1]

References

  1. Aortic aneurysm 31 years after coarctation repair with direct anastomosis : surgical repair avoiding circulatory arrest. Schreiber, C., Pörner, M., Tassani-Prell, P., Kostolny, M., Eicken, A., Lange, R. Herz (2006) [Pubmed]
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