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  • Title: Open after endovascular repair for previous extra anatomic bypass of adult coarctation.
    Author: Phothikun A, Yamamoto S, Oshima S, Hirokami T, Kishinami G, Ozaki K.
    Journal: Asian Cardiovasc Thorac Ann; 2023 Jun; 31(5):442-445. PubMed ID: 37287259.
    Abstract:
    BACKGROUND: During follow-up, aneurysm formation in adults with coarctation of aorta has been reported after undergoing extra-anatomical aortic bypass grafting. Endovascular repair was a reasonable treatment option but there were still complications. CASE PRESENTATION: A 48-year-old male who underwent extra-anatomical aortic bypass grafting, presented with severe back pain and hemoptysis. He had a diagnosed pseudoaneurysm with concealed rupture at the bypass grafting. He underwent endovascular repair and coil embolization. A postsurgical CT-angiogram showed there was extravasation from stent into the pseudoaneurysm. An open repair with endovascular stent removal instead of restenting was performed.
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