The endovascular management of recurrent aortic hypoplasia and coarctation in a 15-year-old male.

Abstract:

:A 15-year-old male complained of easy fatigability, leg weakness, and pain on exertion with episodes of syncope while playing baseball. His past medical history was significant for aortic coarctation associated with a congenital bovine hypoplastic aortic arch. A recent arteriogram revealed innominate and left common carotid artery stenosis as well as recurrent coarctation. He had previously undergone three Dacron patch aortoplasties. At the age of 7, he underwent a fourth operation for recurrent coarctation and because of extensive scar tissue in the region of his prior procedures, a left subclavian artery-to-descending aortic bypass was performed. An endovascular repair to deal with the recent recurrence was performed because of prior surgical difficulties. Percutaneous balloon-expandable stents were placed in the aortic coarctation, innominate, and the left common carotid arteries. Postprocedure, ankle brachial indices were >1 and the patient remains asymptomatic after 1 year.

journal_name

J Vasc Surg

authors

Rhodes AB,O'Donnell SD,Gillespie DL,Rasmussen TE,Johnson CA,Fox CJ,Burklow TR,Hagler DJ

doi

10.1016/j.jvs.2004.09.035

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

531-4

issue

3

eissn

0741-5214

issn

1097-6809

pii

S0741521405000078

journal_volume

41

pub_type

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