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Dual Coarctation of the Aorta: An Uncommon Long-Term Complication of Interrupted Aortic Arch Requiring
Sergio López-Tejero1, Eric Horlick1, Abhinay Challa1
1Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
Insights
A 56-year-old male with a history of extra-anatomic bypass experienced poor blood pressure control due to graft stenosis. This "double coarctation" was successfully treated using a transcatheter approach.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Medicine
Background:
- Extra-anatomic bypass grafts are used for revascularization when direct aortic repair is not feasible.
- Graft stenosis, particularly at anastomotic sites, can lead to complications such as hypertension.
- Late complications of bypass surgery require effective management strategies.
Abstract:
We report the case of a 56-year-old male who underwent an extra-anatomic bypass at the age of 25. He presented with poor BP control, and was found to have two stenotic lesions in the graft: one at the proximal and one at the distal anastomosis. It worked as a "double coarctation of the aorta," which could be treated through a transcatheter approach.
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