Percutaneous approach to treat aortic coarctation and pseudoaneurysm

Percutaneous approach to treat aortic coarctation and pseudoaneurysm

Blog Article

This is the case of a 34-year-old woman treated percutaneously for aortic coarctation repair.The patient’s past medical history included muscular ventricular septal defects with spontaneous closure, bicuspid aortic valve with asymptomatic moderate regurgitation with normal ventricular volume and function, and juxtaductal coarctation of the aorta treated with patch aortoplasty at 2 months old.The data of progressive recoarctation were obtained from the echocardiography and magnetic resonance imaging at the outpatient follow-up, and the hypertensive response from the ergometric work.The case was brought to the heart team that decided equi-jec 6 to perform endovascular treatment.The aortography performed via right femoral access confirmed the presence of recoarctation at the junction between the aortic arch and the descending thoracic aorta (figure 1A,B, blue arrow) with a minimum diameter of 9 mm, here and a peak-to-peak gradient of 20 mmHg.

Similarly, a saccular-shaped pseudoaneurysm was found adjacent to the stenosed region (figure 1A,B; figure 2A, yellow arrow; video 1 of the supplementary data) with internal diameters of 8 mm x 10 mm (figure 2B).Therefore, it was decided to implant a 45 mm long covered stent (Covered CP Stent, NuMED copyright) (figure 3) with good angiographic results (videos 2 and 3.