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Coarctation of the aorta complicated with bilateral iliac artery dissection: A rare case

Wenye He1, Yuhan Zhang1, Luyao Wang1

  • 1Department of Peripheral Vascular Disease, the First Clinical College of Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.

Journal of Clinical Hypertension (Greenwich, Conn.)
|July 6, 2024
PubMed

Insights

Coarctation of the aorta (CoA) with bilateral iliac artery dissection (IAD) is rare. Endovascular treatment effectively resolved CoA and IAD, improving patient outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Coarctation of the aorta (CoA) commonly presents with associated cardiac or cerebral vascular anomalies.
  • Concurrent bilateral iliac artery dissection (IAD) alongside CoA is exceptionally rare and previously unreported.

Observation:

  • A 62-year-old male presented with symptoms of acute intermittent claudication in both lower limbs.
  • Diagnosis confirmed coarctation of the aorta (CoA) combined with acute bilateral iliac artery dissection (IAD).

Findings:

  • The patient successfully underwent endovascular treatment for the combined condition.
  • Post-treatment imaging showed aortic diameter recovery and resolution of bilateral IAD.

Implications:

  • Endovascular therapy is a viable and effective treatment for the rare combination of CoA and bilateral IAD.
  • This approach can significantly improve patient survival and quality of life.

Keywords:
bilateral iliac artery dissectioncoarctation of the aortahypertension

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