Management of Severe Coarctation of the Aorta and Bilateral Carotid Artery Stenosis: An Interventional Catch-22.

Autor: Leung ANW; Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.; Department of Cardiology, Blacktown Hospital, Sydney, New South Wales, Australia., Rao K; Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.; The University of Sydney, Sydney, New South Wales, Australia., Kim J; Department of Neurosurgery, Westmead Hospital, Sydney, New South Wales, Australia., Steinfort B; Department of Radiology, Westmead Hospital, Sydney, New South Wales, Australia., Vasan N; Department of Neurosurgery, Westmead Hospital, Sydney, New South Wales, Australia., Tanous D; Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia., Hsu CJ; Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.; Department of Cardiology, Blacktown Hospital, Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2022 Dec 07; Vol. 6, pp. 101693. Date of Electronic Publication: 2022 Dec 07 (Print Publication: 2023).
DOI: 10.1016/j.jaccas.2022.101693
Abstrakt: We present a case of an adult with concurrent severe aortic coarctation, bilateral carotid artery stenosis, and anomalous right subclavian artery, posing the interventional dilemma of accepting potential cerebral hyperperfusion syndrome vs hypoperfusion ischemic injury. Transcatheter stenting of the aortic coarctation was successfully performed without any neurological deficits. ( Level of Difficulty: Beginner. ).
Competing Interests: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2023 The Authors.)
Databáze: MEDLINE