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  • Title: Isthmic Aortic False Aneurysm Post-Patch Coarctation Aortoplasty: A Hybrid Solution.
    Author: Cotroneo A, Martinelli GL, Barillà D, Diena M.
    Journal: Ann Vasc Surg; 2019 Nov; 61():467.e7-467.e9. PubMed ID: 31376546.
    Abstract:
    We report a case of a 57-year-old female with dextrocardia and a solitary kidney. A patch aortoplasty for isthmic aortic coarctation repair was performed 40 years before when she was admitted to our department for dyspnea. Computed tomography scan showed a giant and saccular 10-cm diameter patch false aneurysm. The ascending aortic diameter was 34 mm and the echocardiography confirmed a severe aortic regurgitation of a bicuspid aortic valve. We decided to perform a 2-step approach: biologic aortic valve and ascending aorta replacement with total debranching of the epiaortic vessels and thoracic endovascular aneurysm repair for complete false aneurysm exclusion.
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