ABSTRACT
Acute aortic dissection during balloon angioplasty for coarctation of the aorta or aneurysm formation during follow-up are well-known complications of this procedure. Dissecting aneurysm development during long-term follow-up after balloon angioplasty of a native coarctation has not been previously reported. We report a case in which a huge dissecting aneurysm developed 3 years after the native coarctation angioplasty procedure. The aneurysm required surgical repair.
Subject(s)
Angioplasty, Balloon/adverse effects , Aortic Aneurysm/etiology , Aortic Coarctation/therapy , Aortic Dissection/etiology , Aortic Dissection/diagnosis , Aortic Dissection/surgery , Aortic Aneurysm/diagnosis , Aortic Aneurysm/surgery , Humans , Infant , Time FactorsABSTRACT
A 3-year-old girl with a continuous murmur on auscultation was found to have left coronary artery to right atrial fistula simulating cor triatriatum sinister on echocardiography. Coronary angiography of the patient was also insufficient to clarify the exact pathologic anatomy. Magnetic resonance imaging showed that the main drainage of the aneurysmal coronary artery was to the left superior vena cava, resulting in a diffuse arteriovenous fistula in the lower lobe of the left lung by compressing its pulmonary vein.