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Transcatheter treatment of “complex” aortic coarctation
Author(s) -
Santoro Giuseppe,
Qureshi Shakeel,
Russo Maria Giovanna
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22542
Subject(s) - medicine , coarctation of the aorta , percutaneous , aortic arch , cardiac catheterization , aortography , left subclavian artery , aneurysm , surgery , cardiology , radiology , aorta
A young woman, submitted to aortic coarctation repair in early infancy, was referred with clinical and echocardiographic signs of severe recoarctation. Spiral CT scan confirmed the aortic isthmus obstruction but imaged also a huge aneurysm distal to the coarctation site, from which arose a large aberrant right subclavian artery. In cardiac catheterization, this vessel showed an upper‐to‐lower flow direction and its closure was deemed mandatory to abolish a major feeding source to the aneurysmal sack. Thus, this anomalous vessel was occluded with an Amplatzer Duct Occluder device and multiple covered Cheatham‐Platinum stents were telescopically implanted into the thoracic aorta to dilate the coarctation and exclude the aneurysm. In conclusion, percutaneous transcatheter treatment is feasible, safe, and cost‐effective even in aortic arch obstructions with complex anatomic arrangement. © 2010 Wiley‐Liss, Inc.