Tilea et al. Journal of Medical Case Reports 2012, 6:255 http://www.jmedicalcasereports.com/content/6/1/255 Page 4 of 4 Figure 4 Three-month follow-up chest computed tomography (CT) scan: complete thrombosis of the aneurysm, without leakage from the stented segment. Transversal section (A), and frontal plane bi-dimensional reconstruction (B). more than 50% of the cases and a prolonged hospital stay [7,8]. Conversely, percutaneous repair in such chal- lenging cases requires less procedural time and no car- diac arrest. Thus, the interventional placement of stent- grafts offers the possibility of avoiding the risks asso- ciated with repeated surgery [1]. This case underscores the need for a multidisciplinary approach in the manage- ment of complex aortic diseases. Conclusions This case illustrates clinical outcomes of surgical inter- ventions for aortic coarctation in a patient with the very late appearance of a local aneurysm. Clinical decision- making and treatment in this unusual situation should be multidisciplinary and a hybrid approach considered with percutaneous stent-graft implantation. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for re- view by the Editor-in-Chief of this journal. Competing interests The authors declare that they have no competing interests. Authors’ contributions IT performed the interventional procedure and drafted the manuscript. BT, RCS, and LH assured the follow-up of our patient, helped in drafting the manuscript and made critical revisions to the manuscript. All authors read and approved the final manuscript. Author details 1Emergency Clinical County Hospital, Cardiac Catheterization Laboratory, 50 Gheorghe Marinescu St, Targu Mures 540136, Romania. 2University of Medicine and Pharmacy of Targu Mures, 38 Gheorghe Marinescu St, Targu Mures 540139, Romania. 3Emergency Clinical County Hospital, Cardiology Clinic I, 50 Gheorghe Marinescu St, Targu Mures 540136, Romania. 4Emergency Clinical County Hospital, Department of Infectious Diseases, 50 Gheorghe Marinescu St, 540136, Targu Mures, Romania. Received: 23 November 2011 Accepted: 9 May 2012 Published: 30 August 2012 References 1. Ince H, Petzsch M, Rehders T, Kische S, Körber T, Weber F, Nienaber CA: Percutaneous endovascular repair of aneurysm after previous coarctation surgery. Circulation 2003, 108:2967–2970. 2. Toro-Salazar OH, Steinberger J, Thomas W, Rocchini AP, Carpenter B, Moller JH: Long-term follow-up of patients after coarctation of the aorta repair. 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