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Successful Stenting for Congenital Coarctation of the Distal Thoracic Aorta (Middle Aortic Syndrome) in an Adult
Author(s) -
Kim Weon,
Jeong Myung Ho,
Lim Ji Hyun,
Hong Young Joon,
Kim Ju Han,
Ahn Young Keun,
Cho Jeong Gwan,
Park Jong Chun,
Ahn Byoung Hee,
Kim Sang Hyung,
Kang Jung Chaee
Publication year - 2005
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.0886-0440.2005.200423.x
Subject(s) - medicine , restenosis , coarctation of the aorta , thoracic aorta , stent , angioplasty , balloon , claudication , aorta , cardiology , lesion , surgery , radiology , vascular disease , arterial disease
We report a successful stent implantation for a coarctation lesion of the lower thoracic aorta in a 44‐year‐old male. This patient had suffered from claudication of both legs for 30 years. An aortogram revealed a coarctation of the distal thoracic aorta at T 11 level with 60 mmHg peak systolic pressure gradient of across the lesion. A balloon angioplasty followed by an 18 mm × 40 mm sized stent implantation was performed successfully. The peak systolic gradient across the coarctation decreased from 60 to 15 mmHg. The patient's symptom was relieved immediately after stenting. No significant or adverse events were observed during 7 months clinical follow‐up. Follow‐up aortogram after 7 months revealed no restenosis with an improved pressure gradient. Adults with congenital coarctation of the descending thoracic aorta can be successfully treated by stent implantation.