Embolization of pseudoaneurysm in Dacron subclavian-aortic graft for interrupted aortic arch repair

Abstract

CASE PRESENTATION This is the case of a 23-year-old male with a past medical history of interrupted aortic arch after left subclavian artery emergency found in the 8th month of the his life. Back in 2004, the surgical correction attempted with a subclavian-aortic graft using a Dacron graft was uneventful. The procedure resulted in an improvement of the arterial blood pressure. The anomalies associated with the initial diagnosis were the anomalous origin of the patient’s right subclavian artery with an emergency following the interruption and a bicuspid aortic valve without stenosis or regurgitation. Additionally, in 2015, and due to a significant scoliosis of the spine, the patient underwent surgery with placement of screws and rods. Back in January 2018, the patient became sick due to a massive hemoptysis that required the use of hemoderivatives. From the start the patient had a total of 17 episodes, the last one of approximately 1 liter with a reduction of hemoglobin levels down to 7 g/dL. The patient was admitted to our center in October 2019 with a coronary computed tomography angiography performed back in April 2019 (figure 1) and in a period of 5 days. The clinical and CT scan assessment revealed the presence of a...