title: Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation.
abstract: We report our experience with one patient with recurrent coarctation and aneurysm degeneration treated endoluminally. A novel technique was used combining balloon-expandable with self-expandable endografts. The balloon-expandable component expanded the area of stenosis and also created a neck to allow the implantation of the self-expandable endograft to exclude the aneurysm. Mismatch of diameters was solved with the creation of a new proximal neck, in which the distal end was progressively expanded to reach the appropriate diameter to implant the self-expandable endograft inside. Expansion of the narrow stenosis and complete exclusion of the aneurysm was achieved without a residual pressure gradient.
authors.affiliation: Vascular Surgery Division, FLENI, Buenos Aires, Argentina.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Parodi
authors.forename: Luis Mariano
authors.initials: LM
authors.lastname: Ferreira
authors.forename: Horacio
authors.initials: H
authors.lastname: Faella
authors.forename: Ricardo
authors.initials: R
authors.lastname: La Mura
authors.forename: Erik
authors.initials: E
authors.lastname: Ruslender
authors.forename: German
authors.initials: G
authors.lastname: Henestrosa
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D001017:Aortic Coarctation / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
chemical_list: D011138:Polytetrafluoroethylene