Aortic Endoprosthesis for the Treatment of Native Aortic Coarctation and Concomitant Aneurysm in an Octogenarian Patient.

Abstract

We report a case of an 82-year-old female patient with native coarctation of the aorta and poststenotic aneurysm of the descending thoracic aorta. On consultation, she was receiving 4 antihypertensive drugs, and physical examination revealed nonpalpable lower-limb pulses with intermittent claudication at 50 min. Because of her age, high surgical risk and combination of lesions, endovascular treatment was suggested. Placement of a Valiant thoracic aorta endoprosthesis followed by coarctation angioplasty was performed. At 48 hr, the patient was discharged on 1 antihypertensive drug, palpable pulses on both limbs and a normal ankle-brachial index. At 1 month follow-up, the patient remained as discharged and multislice computed tomography angiography depicted complete coarctation expansion without residual stenosis, exclusion of the aortic aneurysm, and no signs of endoleaks.

• Authors: Martín Rabellino, Vadim Kotowicz, Alberto Kenny, Andres Alejandro Kohan, Ricardo García-Mónaco
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 29 Issue 8 Pg. 1661.e1-4 (Nov 2015) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 26318556 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Elsevier Inc. All rights reserved.

Topics

• Aged, 80 and over
• Angioplasty
• Aortic Aneurysm (complications, diagnosis, surgery)
• Aortic Coarctation (complications, diagnosis, surgery)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation
• Female
• Humans