Knirsch W, Schlensak C, Dittrich S, Kurtz C, Kececioglu D. Poststenotic aneurysm in a child with native coarctation of the aortic arch. Images Paediatr Cardiol 2005;23


(275Kb)	Knirsch W,¹Schlensak C,² Dittrich S¹, Kurtz C,³ Kececioglu D.¹ Poststenotic aneurysm in a child with native coarctation of the aortic arch. Images Paediatr Cardiol 2005;23:20-22
	¹Department of Congenital Heart Disease/Pediatric Cardiology, University Children´s Hospital Freiburg, Germany ²Department of Cardiac Surgery, University Hospital Freiburg, Germany ³Department of Radiology, University Hospital Freiburg, Germany

MeSH

coarctation of the aortic arch

aneurysm

child

A 12-year old girl was admitted to hospital because of arterial hypertension, emboli to lower extremities and exertional dyspnea. Diagnostic work-up revealed coarctation of the aortic arch with a giant poststenotic aneurysm in the descending aorta by angiocardiography (fig. 1) and by computer tomography (fig. 2). The patient was operated by using a 18 mm Dacron tube prothesis (fig. 3).
Fig. 1: Angiogram (frontal projection) demonstrating left ventricular hypertrophy due to the severe coarctation of the aortic arch with a giant poststenotic aneurysm of the descending aorta. fig01

Fig. 2: 3D-Computer tomography of the aortic arch demonstrating the native coarctation of the aortic arch (minimal diameter 0.5 cm) and the poststenotic aneurysm in the descending aorta (diameter 4.2 x 5.1 cm). fig02

Fig. 3: Angiogram (lateral projection) showing the postoperative result. fig03

Contact information

Dr. W. Knirsch University Children's Hospital Zürich Department of Pediatric Cardiology Steinwiesstr. 75 CH 8032 Zürich Switzerland Phone: +41 44 266 76 17 Fax: +41 44 266 79 81 walter.knirsch@kispi.unizh.ch