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Successful long-term stenting of an atypical descending aortic coarctation
Douglas Scott Keith1, Brian Markey, Michael Schiedler
1Northwest Kaiser Permanente, PC, 6902 SE Lake Road, Suite 100, Milwaukie, OR 97267, USA. Douglas.S.Keith@KP.org
Insights
Atypical coarctation of the aorta, often caused by Takayasu
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Vascular surgery
Background:
- Atypical coarctation of the descending aorta is rare.
- Takayasu's arteritis is a common cause of atypical coarctation.
Observation:
- This report details a case of atypical coarctation of the descending aorta.
- The patient underwent angioplasty and stent placement.
Findings:
- The stent remained patent.
- Hypertension was controlled for two and a half years post-procedure.
- Endovascular treatment with mechanical stents demonstrated success.
Implications:
- Endovascular treatment may be a viable alternative to surgical correction for atypical coarctation.
- Mechanical stents show promise for long-term management of aortic coarctation.
- Further research into endovascular techniques for aortic stenosis is warranted.
Abstract:
Stenotic lesions of the descending aorta are rare causes of coarctation of the aorta. The majority of cases of atypical coarctation are thought to be caused by Takayasu's arteritis. This report describes an atypical coarctation of the descending aorta treated with angioplasty and stent placement. Patency of the stent and control of the hypertension at 2 and a half years suggest that endovascular treatment of atypical coarctation may be successful with the use of mechanical stents and may be an alternative to surgical correction.