The endovascular management of recurrent aortic hypoplasia and coarctation in a 15-year-old male.
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.
Rhodes
Andrew B
AB
Vascular Surgery Clinic Ward 64, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307-5001, USA.
O'Donnell
Sean D
SD
Gillespie
David L
DL
Rasmussen
Todd E
TE
Johnson
Chatt A
CA
Fox
Charles J
CJ
Burklow
Thomas R
TR
Hagler
David J
DJ
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