Thoracic endovascular aneurysm repair for coarctation of the aorta with dissecting aortic aneurysm: A rarity

Endovascular procedures aim to reduce the morbidity and mortality. Repair is indicated for aneurysms that are the source of pain and tenderness, which may indicate an impending rupture. The options for repair include traditional open aortic surgery or endovascular repair. Endograft has been used in patients with aortic dissection, noting the extremely complex nature of open surgical repair in these patients, while the results have been excellent. Aneurysm formation is a significant complication after therapy for Coarctation of aorta (CoA). Aneurysms develop after surgical as well as transcatheter repair procedures of CoA. We report a rare case of coarctation of the aorta with dissecting aortic aneurysm who presented with sudden onset of chest pain radiating to back and dyspnea for 3 days. He successfully underwent balloon dilatation of coarctation segment followed by aortic stent-graft implantation. Uneventful during procedure prompts recovery on follow-up.