Endovascular repair of a ruptured, extremely tortuous, descending thoracic aorta aneurysm with aortic coarctation.

Autor: Hoogewerf M; Department of Cardiothoracic Surgery, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands.; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., van Geldorp MWA; Department of Cardiothoracic Surgery, Amphia Hospital, Breda, The Netherlands., Scholten JGF; Department of Anaesthesiology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands., Vos JA; Department of Interventional Radiology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands., Heijmen RH; Department of Cardiothoracic Surgery, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2022 Jul 31; Vol. 8 (3), pp. 480-483. Date of Electronic Publication: 2022 Jul 31 (Print Publication: 2022).
DOI: 10.1016/j.jvscit.2022.07.004
Abstrakt: We have presented a case of a ruptured descending aortic aneurysm that was accompanied by extreme tortuosity and a pseudocoarctation at the level of the ligamentum arteriosum. We performed successful endovascular repair, covering the left subclavian artery, using a transapical-to-femoral artery (through-and-through) guidewire technique to overcome the tortuosity, with the option to perform balloon angioplasty in the case of an increased gradient over the coarctation. In the present case report, we have underlined the role of close collaborations with aortic expertise centers.
(© 2022 The Author(s).)
Databáze: MEDLINE