Somers Tim, Nies Hedwig M J M, van Kimmenade Roland R J, Bosboom Dennis G H, Geuzebroek Guillaume S C, Morshuis Wim J
Department of Cardiothoracic Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, Netherlands.
Department of Cardiology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, Netherlands.
Eur Heart J Case Rep. 2022 Feb 16;6(2):ytac073. doi: 10.1093/ehjcr/ytac073. eCollection 2022 Feb.
Coarctation of the aorta accounts for 5-7% of congenital defects of the heart and great vessels. It requires treatment in the form of open surgical or percutaneous repair. Common long-term complications include re-stenosis and aneurysm formation. The formation of a false aneurysm is a complication with a significant morbidity and mortality.
We reviewed six cases of late false aneurysm after repair of a coarctation of the aorta. Our six cases developed a false aneurysm after an open surgical repair of a coarctation more than 30 years after initial surgical repair. All aneurysms were located at the aortic repair site.
The symptoms or risk factors in the described cases are not uniform and are difficult to include in a general follow-up protocol. Guidelines recommend frequent evaluation, but do not specify duration or intervals of imaging follow-up. Our cases support the necessity of life-long follow-up in patients with open aortic repairs irrespective of symptomatology.
主动脉缩窄占心脏和大血管先天性缺陷的5% - 7%。它需要通过开放手术或经皮修复的方式进行治疗。常见的长期并发症包括再狭窄和动脉瘤形成。假性动脉瘤的形成是一种具有显著发病率和死亡率的并发症。
我们回顾了6例主动脉缩窄修复术后晚期假性动脉瘤的病例。我们的6例病例在初次手术修复30多年后，因主动脉缩窄进行开放手术修复后出现了假性动脉瘤。所有动脉瘤均位于主动脉修复部位。
所描述病例中的症状或危险因素并不一致，难以纳入常规的随访方案。指南建议进行频繁评估，但未明确影像学随访的持续时间或间隔。我们的病例支持对接受主动脉开放修复的患者进行终身随访的必要性，无论其有无症状。
