Endograft rescue of compromised interposition aortic graft in an adult patient with congenital heart disease

Authors

  • Jesse W Lee Department of Pediatrics, Division of Pediatric Cardiology, University of California, San Diego and Rady Children’s Hospital, San Diego CA, USA
  • Kanishka Ratnayaka Department of Pediatrics, Division of Pediatric Cardiology, University of California, San Diego and Rady Children’s Hospital, San Diego CA, USA
  • Howaida G El-Said Department of Pediatrics, Division of Pediatric Cardiology, University of California, San Diego and Rady Children’s Hospital, San Diego CA, USA
  • John W Moore Department of Pediatrics, Division of Pediatric Cardiology, University of California, San Diego and Rady Children’s Hospital, San Diego CA, USA

DOI:

https://doi.org/10.21542/gcsp.2018.8

Abstract

In a 19-year-old male with interrupted aortic arch and complex congenital heart disease, we report percutaneous repair of a compromised aortic conduit. The patient had aortic arch repair
in childhood utilizing a 12 mm Hemashield Dacron conduit. CT angiography showed multiple segments of this conduit were dilated to 16 mm suggesting conduit degeneration and failure with pseudoaneurysm formation. We utilized a self-expanding aortic endograft supported by internal placement of bare metal stents to repair the conduit. Our repair was guided by 3D rotational angiography. This adult patient with complex congenital heart disease and interrupted aortic arch is an example of patients in whom endograft repair of compromised aortic conduits presents a much lower risk alternative than surgical revision. 

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Published

2018-03-17

Issue

Vol. 2018 No. 1 (2018)

Section

Images in cardiology

License

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.