Congenital Saccular Aneurysm of Coarctation of Aorta: A Case Report

  • Hassan Teimouri Shahid Madani Hospital, Khoram Abad University of Medical Sciences, Khoram Abad, Iran
  • Feridoun Sabzi Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Samsam Dabiri Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Keywords: Aortic coarctation • Aneurysm • Child

Abstract

True saccular aneurysm is exceptional in coarctation of aorta in children. A 6-year-old girl with headache and systemic arterial hypertension referred to our center for cardiovascular evaluation. Physical examination revealed high blood pressure and weak lower extremity pulses. Two-dimensional and Doppler echocardiography and angiography demonstrated a saccular aneurysm of the descending aorta, 5×4 cm in size, associated with aortic coarctation. Aneurysmectomy was performed without cardiopulmonary bypass. The section of the aorta containing the coarctation and the aneurysm was resected and replaced with a 15-mm woven polyester graft. Histological examination revealed a thin walled aneurysm with hyalinosis changes and decreased elastic fibers. One-year echocardiographic follow-up revealed no gradient across of Dacron tube and hypertension decreased to normal level.
Published
2015-10-11
How to Cite
1.
Teimouri H, Sabzi F, Dabiri S. Congenital Saccular Aneurysm of Coarctation of Aorta: A Case Report. J Tehran Heart Cent. 8(4):210-2.
Section
Case Report(s)