title: The endovascular management of recurrent aortic hypoplasia and coarctation in a 15-year-old male.
abstract: A 15-year-old male complained of easy fatigability, leg weakness, and pain on exertion with episodes of syncope while playing baseball. His past medical history was significant for aortic coarctation associated with a congenital bovine hypoplastic aortic arch. A recent arteriogram revealed innominate and left common carotid artery stenosis as well as recurrent coarctation. He had previously undergone three Dacron patch aortoplasties. At the age of 7, he underwent a fourth operation for recurrent coarctation and because of extensive scar tissue in the region of his prior procedures, a left subclavian artery-to-descending aortic bypass was performed. An endovascular repair to deal with the recent recurrence was performed because of prior surgical difficulties. Percutaneous balloon-expandable stents were placed in the aortic coarctation, innominate, and the left common carotid arteries. Postprocedure, ankle brachial indices were >1 and the patient remains asymptomatic after 1 year.
authors.affiliation: Vascular Surgery Clinic Ward 64, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307-5001, USA.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Rhodes
authors.forename: Sean D
authors.initials: SD
authors.lastname: O'Donnell
authors.forename: David L
authors.initials: DL
authors.lastname: Gillespie
authors.forename: Todd E
authors.initials: TE
authors.lastname: Rasmussen
authors.forename: Chatt A
authors.initials: CA
authors.lastname: Johnson
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Fox
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Burklow
authors.forename: David J
authors.initials: DJ
authors.lastname: Hagler
mesh_terms: D000293:Adolescent; D001013:Aorta, Thoracic / Q000002:abnormalities; D001017:Aortic Coarctation / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization; D006801:Humans; D008297:Male; D012008:Recurrence; D015607:Stents