AI Article Synopsis

  • Endovascular treatment is effective for managing main artery stenoses but can be complicated by the presence of multiple anomalies.
  • A case study of a 21-year-old man with aortic coarctation highlighted the simultaneous occurrence of rare vascular anomalies, making treatment more challenging.
  • Successful percutaneous treatment using self-expanding nitinol stents led to improved blood pressure and symptoms, suggesting this method is a promising option for patients with coarctation and associated anomalies.

Article Abstract

Endovascular treatment offers a great advantage in the management of main arteries stenoses. However, simultaneous presence of a group of anomalies may complicate the situation. Here we present a case of 21-year-old man with aortic coarctation. Radiographic imaging and angiography demonstrated aortic coarctation of the left-circumferential aortic arch, right-sided descending aorta, and Kommerell's diverticulum at the origin of right subclavian artery. These anomalies have rarely been reported to concurrently exist in the same case and the treatment is challenging. Percutaneous treatment for repair of aortic coarctation was successfully performed with deployment of self-expanding nitinol stents. Follow-up demonstrated the correction of blood pressure and improvement of the symptoms. It appears that deployment of self-expandable nitinol stents present a viable option for the management of coarcted aorta in patients having all or some of these anomalies together.

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http://dx.doi.org/10.1016/j.avsg.2016.05.116DOI Listing

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