Refractory heart failure due to acquired aortic coarctation after total arch replacement: find the right antidote!

ESC Heart Fail

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guo Xue Alley 37, Chengdu, 610041, Sichuan Province, China.

Published: March 2025

A 31-year-old male presented with unexplainable symptoms of heart failure including recurrent fatigue and orthopnoea after total arch replacement for type A aortic dissection 2 months ago. Computed tomography angiography detected a severe intra-luminal stenosis, and we successfully implanted a balloon-expandable stent to dilate the stenosis. The patient with improved haemodynamics after endovascular reintervention remains stable at 2 years. The case provides a feasible endovascular therapy for heart failure caused by post-surgery aortic coarctation.

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http://dx.doi.org/10.1002/ehf2.14629DOI Listing

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