Case report: a novel approach for the emergency repair of acute aortic rupture associated with congenital aortic Coarctation

Figures

• 

  Fig. 1. Aortic angiography. a. Angiogram of the thoracic aorta showed coarctation with aortic hypoplasia and a ruptured pseudoaneurysm distal to the coarcted segment. b. Angiogram of the abdominal aorta showed a hypoplastic aorta with extremely narrowed femoral-iliac arteries

• 

  Fig. 2. Post-operative angiography. a. Antegrade angiography of the ascending aorta demonstrated successful exclusion of the coarcted aortic segment and pseudoaneurysm. b. Antegrade angiography of the ascending aorta in the late phase revealed that the upper abdominal aorta was filled in an antegrade manner from extensive collateral circulation. c. Abdominal aortic angiography demonstrated that anterograde and retrograde blood flow intermixed at the distal abdominal aorta

• 

  Fig. 3. 1-year follow-up CT angiography. a. Multiplanar reconstruction imaging (MPR) demonstrated obliteration of the coarcted segment and distal pseudoaneurysm. b. Three-dimensional imaging showed a patent right axillary-to-femoral bypass graft. c. A 3-dimensional image showed the satisfactory position and shape of the occluders