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Sudden death 10 years after patch aortoplasty for coarctation

Published online by Cambridge University Press:  19 August 2008

Michael Hauser ,
James pollock  and
Neil Wilson
Michael Hauser*
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
James pollock
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
Neil Wilson
Affiliation:
Royal Hospital For Sick Children/Yorkhill, Glasgow G3 8SJ, UK
*
Dr Michael Hauser, German Heart Centre Munich, Department of Paediatric Cardiology, Lazarettstr. 36, D-80636 Munich, Germany. Tel: 089 1218 2305, Fax: 089 1218 2303
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Abstract

A 25-year-old man died 10 years after a Dacron patch was used to repair a coarctation of the aorta. Death was due to rupture of an unrecognized aneurysm at the site of the patch. After the initial operation at the age of 15 years, there had been no signs of residual or recurrent obstruction. He had no evidence of hypertension and was discharged some years later from regular hospital follow-up to the care of his general practitioner. We strongly recommend that patients who have undergone repair of aortic coarctation by patch aortoplasty should have lifelong follow-up in cardiac units with imaging facilities for monitoring aortic dilation. We would now recommend surgical intervention in the presence of progressive aortic dilation.

Keywords

Coarctationarrotarupturesudden death
Type
Brief Report
Information
Cardiology in the Young , Volume 8 , Issue 3 , July 1998 , pp. 383 - 385
Copyright
Copyright © Cambridge University Press 1998

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