Fully Endovascular Management of Late Pseudoaneurysm After Aortic Coarctation Repair Using Graft Sealing and Coarctation Occlusion

Figures

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  Fig 1. Preoperative CT angiography. Contrast-enhanced CT angiography showing a pseudoaneurysm arising from the distal anastomosis of the extra-anatomic graft. The native coarctation site remains patent and may contribute to retrograde flow into the pseudoaneurysm sac (A). CT angiography reconstruction of aortic coarctation (B). CT, Computed tomography.

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  Fig 2. Deployment of the endograft and Amplatzer Septal Occluder placement. Fluoroscopic image demonstrating positioning of a 12-mm Amplatzer Septal Occluder device at the native aortic coarctation site, achieving complete occlusion and preventing retrograde filling of the aneurysm sac (A). Fluoroscopic image demonstrating subsequent deployment of the thoracic endograft, achieving complete sealing of the pseudoaneurysm sac with no evidence of endoleak (B).

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  Fig 3. One-year follow-up CT angiography. Follow-up CT scan at 12 months showing stable endograft position, complete thrombosis of the pseudoaneurysm sac, and absence of complications or endoleaks (A). CT angiography reconstruction (B). CT, Computed tomography.