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Stenting of the ascending aorta revisited
Nasser J Moiduddin1,2, Rodrigo Rios1, Howaida El-Said1
1Division of Cardiology, Department of Pediatrics, University of California San Diego, Rady Children's Hospital San Diego, San Diego, California.
Insights
Stenting the ascending aorta, previously discouraged, successfully treated acquired stenosis in a small patient group. This intervention offers a new option for managing this specific aortic condition.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Ascending aorta stenting is rarely performed due to anatomical risks.
- Concerns include proximity to the aortic valve, coronary ostia, and arch vessels.
Observation:
- A case series of patients with acquired ascending aorta stenosis was identified.
- These patients presented with challenging anatomical considerations.
Findings:
- Successful stenting of the ascending aorta was achieved in this patient cohort.
- The intervention effectively relieved the acquired stenosis.
Implications:
- This case series suggests that ascending aorta stenting can be a viable treatment option.
- Further research may explore expanded use in select patients with acquired stenosis.
Abstract:
Despite few institutions stenting the ascending aorta, it has been discouraged because of the proximity of the aortic valve, the coronary artery orifices, and the aortic arch branches. We describe a small case series of patients having acquired stenosis of the ascending that was relieved successfully by stenting. © 2017 Wiley Periodicals, Inc.
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