Late complication of surgical repair of aortic coarctation: Ruptured pseudoaneurysm of the aorta treated by thoracic endovascular aortic repair

Aortic coarctation is a frequent congenital defect requiring early surgical treatment. Late complications of these surgical procedures can be fatal as in the case of a ruptured anastomotic pseudoaneurysm. We present a case of a 49-year-old man presenting with hemorrhagic shock due to this complication who was successfully treated by endovascular techniques with implantation of two stentgrafts. This case illustrates the fact that endovascular aortic repair is feasible, certainly less invasive and very efficient for this type of complication when used in an experienced center. (C) 2010 Elsevier Masson SAS. All rights reserved.