Aortic coarctation: angioplasty and stenting of a total occlusion.

Abstract

A 23-year-old man presented with dyspnoea and a blood pressure of 180/120 mmHg in both arms. Femoral and popliteal pulses were absent and there was a systolic ejection murmur along the left intercostal area.The chest X-ray showed rib notching and a normal cardiac silhouette.Transthoracic echocardiography showed a bicuspid aortic valve with a mild degree of left ventricular dysfunction and an interruption of the aorta 3 cm distally of the left subclavian artery. A 64-slice CT angiography confirmed an interruption with extensive collateral circulation. Angioplasty and implantation of a covered stent were successful. Six months after the procedure, the patient is asymptomatic and without any complication.

• Authors: Ramazan Akdemir, Mustafa Tarik Agac, Zeydin Acar
• Journal: Acta cardiologica (Acta Cardiol) Vol. 65 Issue 4 Pg. 467-70 (Aug 2010) ISSN: 0001-5385 [Print] England
• PMID: 20821942 (Publication Type: Case Reports, Journal Article)

Topics

• Angioplasty, Balloon
• Aortic Coarctation (diagnosis, therapy)
• Cardiac Catheterization
• Coronary Angiography
• Echocardiography
• Humans
• Male
• Radiography, Thoracic
• Stents
• Tomography, X-Ray Computed
• Young Adult