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Management of re-coarctation due to prosthetic graft pseudo-intimal dissection

Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK

*Corresponding author. Tel.: +44 121 6272543; fax: +44 121 6272542.

E-mail address: robert.bonser{at}uhb.nhs.uk (R.S. Bonser).

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.

Key Words: Arteries; Coarctation; Prosthesis