Kalkat Maninder S, Thorne Sara A, Guest Peter, Bonser Robert S
Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Interact Cardiovasc Thorac Surg. 2007 Feb;6(1):83-4. doi: 10.1510/icvts.2006.137836. Epub 2006 Nov 21.
Re-coarctation is a recognised late complication of surgical coarctation repair. Re-operation in these patients is difficult and the role of surgery has been partly subsumed by balloon angioplasty and endovascular stenting. We describe a patient who twice developed re-coarctation, the second time because of a raised pseudo-intimal flap within an interposition graft. It was managed successfully with an ascending-descending aorta extra-anatomic graft.