Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation.
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.
Parodi
Juan C
JC
Vascular Surgery Division, FLENI, Buenos Aires, Argentina.
Ferreira
Luis Mariano
LM
Faella
Horacio
H
La Mura
Ricardo
R
Ruslender
Erik
E
Henestrosa
German
G
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*
D011138:Polytetrafluoroethylene