Publication Date
2013
Journal
The Texas Heart Journal
PMID
23678217
Publication Date(s)
2013
Language
English
PMCID
PMC3649787
PubMedCentral® Posted Date
2013
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Aneurysm, dissecting/complications; aortic coarctation/complications/therapy; blood vessel prosthesis implantation/methods; endovascular procedures/instrumentation/methods; risk factors; stents; treatment outcome; ultrasonography, interventional
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Surgical treatment poses a high risk to patients with concomitant aortic coarctation and dissection, and an interventional approach could be an alternative. We describe the case of a 52-year-old man with a long history of untreated hypertension and aortic coarctation who emergently presented at our institution with an acute Stanford type B dissection. The patient's elevated serum creatinine level, perfusion deficit in the right lower limb, and hypertension did not respond to medical therapy, and he did not consent to surgery. By endovascular means, we used a self-expandable stent-graft to cover the entry point of the dissection; then, we deployed a balloon-expandable bare-metal stent to correct residual stenosis. To our knowledge, this is the first report of the endovascular treatment of aortic coarctation complicated by type B dissection.