Preprocedural aneurysmal dilatation in aortic coarctation: a rare case report

BACKGROUND: Late complications following surgical repair of aortic coarctation may include hypertension, aortic valve disease, coronary artery disease, aneurysm formation, and recoarctation. However, preprocedural aneurysmal dilatation is rarely reported. CASE PRESENTATION: We report the case of an 11-year-old male with severe aortic coarctation and a giant aneurysm identified prior to any surgical or interventional treatment. Takayasu's arteritis was ruled out, and the patient underwent successful percutaneous placement of a covered stent. Post-procedure, he showed no residual gradient or aneurysmal lesion. CONCLUSION: This case highlights a rare presentation of aneurysmal dilatation occurring prior to any intervention for aortic coarctation and supports the efficacy of covered stent placement as a safe and effective therapeutic option.