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Technical considerations of coarctation stenting in double-barreled aorta - A persistent fifth arch mimic

Shrusthi Walad1, K N Harikrishnan1, Arun Gopalakrishnan1

  • 1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Annals of Pediatric Cardiology
|June 9, 2021
PubMed

Insights

Double-barreled aorta, a rare congenital condition, often accompanies coarctation. This case study details the specific technical challenges and solutions for stenting this unique aortic anomaly.

Area of Science:

  • Cardiovascular Morphology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • The double-barreled aorta is a rare congenital anomaly involving a duplicated ascending aorta.
  • It is frequently associated with coarctation of the aorta, a narrowing of the aortic arch.
  • Understanding its embryology has been a long-standing challenge in cardiac morphology.

Observation:

  • This case presents a patient with a double-barreled aorta and coarctation.
  • The unique anatomy requires specialized considerations for intervention.
  • The embryological debates surrounding this condition have largely been resolved.

Findings:

  • The study illustrates the technical nuances of stenting coarctation in the presence of a double-barreled aorta.
  • Specific procedural steps tailored to this anomaly are highlighted.
  • Successful stenting was achieved by addressing the anatomical peculiarities.

Implications:

  • This work provides valuable insights for interventional cardiologists treating complex aortic anomalies.
  • It contributes to the understanding of managing coarctation in the context of a double-barreled aorta.
  • Case-based learning enhances the technical proficiency for rare cardiovascular conditions.

Keywords:
Aortic archcoarctation of aortacongenital heart diseasedouble barreled aortafifth arch

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