[Ascending aortic aneurysm developing late after surgical repair of aortic coarctation]

ABSTRACT

We report the case of a 44 years old women who had successful operative repair of simple coarctation of the aorta at the age of 18 years. An associated bicuspid aortic valve with normal function was respected. Long-term ealuation demonstrated aortic root aneurysm that occurred in the absence of hypertension, recoarctation or deterioration of the bicuspid aortic valve and that was subjected to corrective surgery. Two years later, this patient died after a myocardial infarction the result. found in many studies published in the literature, demonstrate that since surgical repair of aortic coarctation became available, life expectancy of patients has improved but is not as normal as in unaffected pees because of a high rate of cardiovascular complications. Aneurysm in the ascending aorta [type A aneurysm] is a rare complication after surgical correction of aortic coarctation but this condition carries a high risk of dissection, rupture and death that justifies regular follow-up imaging. Bicuspid aortic valve, when associated to coarctation of the aorta, is an independent predictor of type A aneurismal formation and should be considered as a disease of the entire aortic root