Successful stenting for congenital coarctation of the distal thoracic aorta (middle aortic syndrome) in an adult.
We report a successful stent implantation for a coarctation lesion of the lower thoracic aorta in a 44-year-old male. This patient had suffered from claudication of both legs for 30 years. An aortogram revealed a coarctation of the distal thoracic aorta at T11 level with 60 mmHg peak systolic pressure gradient of across the lesion. A balloon angioplasty followed by an 18 mm x 40 mm sized stent implantation was performed successfully. The peak systolic gradient across the coarctation decreased from 60 to 15 mmHg. The patient's symptom was relieved immediately after stenting. No significant or adverse events were observed during 7 months clinical follow-up. Follow-up aortogram after 7 months revealed no restenosis with an improved pressure gradient. Adults with congenital coarctation of the descending thoracic aorta can be successfully treated by stent implantation.
Kim
Weon
W
The Heart Center of Chonnam National University Hospital, Gwang Ju, South Korea.
Jeong
Myung Ho
MH
Lim
Ji Hyun
JH
Hong
Young Joon
YJ
Kim
Ju Han
JH
Ahn
Young Keun
YK
Cho
Jeong Gwan
JG
Park
Jong Chun
JC
Ahn
Byoung Hee
BH
Kim
Sang Hyung
SH
Kang
Jung Chaee
JC
D000328:Adult; D000800:Angioplasty, Balloon; D001013:Aorta, Thoracic / Q000473:pathology*; D001017:Aortic Coarctation / Q000628:therapy*; D006801:Humans; D008297:Male; D015607:Stents; D013577:Syndrome