Endovascular management of a rare complication of an aortic coarctation

Fig. 1. (A) Initial computed tomography with contrast enhancement. Coronal reconstruction shows a left large aneurysm (arrow). (B) Three-dimensional surface reconstruction demonstrates a subocclusive coarctation of the descending thoracic aorta (arrowhead) and the aneurysm (arrow).

Fig. 2. Opacification of the aneurysm (arrow) of a developed left cervical-thoracic artery (arrowhead) through the left axillary artery.

Fig. 3. Angiocomputed tomography 3 months after stenting. Three-dimensional surface reconstruction demonstrates the aneurysm patency (arrowhead) despite the stent (thin arrow) and the collateral (arrow).

Fig. 4. Thoracic radiography showing the balloon deployment into the left subclavian artery (arrow), as well as a microcatheter into the aneurysm (arrowhead) and the stent graft into the descending thoracic aorta (thin arrow).

Fig. 5. Opacification of the left subclavian artery showing a complete thrombosis of the aneurysm after the injection of thrombin and glue.

Fig. 6. Angiocomputed tomography 2 weeks after intervention shows complete thrombosis of the aneurysm (arrow).