Key result
Endovascular stent-graft implantation successfully treated a 44-year-old male with complex adult aortic coarctation, resolving the blood pressure gradient with no recoarctation or endoleak at 3 months.
Why the study?
Intraluminal stent-graft placement is preferred to alleviate symptoms and prolong lifespan in adult aortic coarctation, but complex isthmic anatomy presents management challenges.
Case Report (n=1)
No
Endovascular stent-graft implantation is a feasible and effective alternative to surgery for adult patients with complex aortic coarctation.
Answers are grounded in this paper and cite their sources.
Case supports feasibility of stent-graft for complex adult coarctation; leaves open need for comparative trials before practice change.
The intraluminal stent-graft placement is preferred for alleviation of symptoms as well as prolonging life span of adult aortic coarctation. We presented here the interventional treatment option of a 44 years old aortic coarctation patient with complex isthmic anatomy: long segment stenosis beginning before the left subclavian artery ostia, proximal left subclavian artery aneurysm, multilobulated aneurysm of descending aort, poststenotic dilatation and collateral formation. The patient was treated with endovascular stent-graft implantation successfully. The endovascular interventions of congenital aortic coarctations are complementary and alternative treatment option to surgery for the longterm management of the patients.
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Yıldırım et al. (2022) conducted a case report in Aortic coarctation (n=1). Endovascular stent-graft implantation was evaluated on Resolution of stenosis and blood pressure gradient. Endovascular stent-graft implantation successfully treated a 44-year-old male with complex adult aortic coarctation, resolving the blood pressure gradient with no recoarctation or endoleak at 3 months.
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