Acquired thoracic aortic interruption: percutaneous repair using graft stents.
Two adult patients with isolated, aortic interruption were successfully treated by percutaneous insertion of graft stents. Prior to the intervention, both patients were hypertensive and on medication. In both cases, an ascending aortogram demonstrated a blind ending of the thoracic aorta distal to the left subclavian artery with a large gradient across the interruption and with multiple collaterals. A graft stent was successfully deployed across the interrupted segment in both cases. We believe that this is one of the first reported cases of percutaneous stenting of aortic interruption and represents a promising new therapeutic option for these adult patients.
Hudsmith
Lucy E
LE
Department of Adult Congenital Heart Disease, The Queen Elizabeth Hospital, Birmingham, UK. lucyhudsmith@hotmail.com
Thorne
Sara A
SA
Clift
Paul F
PF
de Giovanni
Joseph
J
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D006328:Cardiac Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome