title: Aortic Endoprosthesis for the Treatment of Native Aortic Coarctation and Concomitant Aneurysm in an Octogenarian Patient.
abstract: We report a case of an 82-year-old female patient with native coarctation of the aorta and poststenotic aneurysm of the descending thoracic aorta. On consultation, she was receiving 4 antihypertensive drugs, and physical examination revealed nonpalpable lower-limb pulses with intermittent claudication at 50 min. Because of her age, high surgical risk and combination of lesions, endovascular treatment was suggested. Placement of a Valiant thoracic aorta endoprosthesis followed by coarctation angioplasty was performed. At 48 hr, the patient was discharged on 1 antihypertensive drug, palpable pulses on both limbs and a normal ankle-brachial index. At 1 month follow-up, the patient remained as discharged and multislice computed tomography angiography depicted complete coarctation expansion without residual stenosis, exclusion of the aortic aneurysm, and no signs of endoleaks.
authors: Department of Interventional Radiology, Hospital Italiano, Buenos Aires, Argentina. Electronic address: jose.rabellino@hospitalitaliano.org.ar.
authors: Martín
authors: M
authors: Rabellino
authors: Department of Cardiovascular Surgery, Hospital Italiano, Buenos Aires, Argentina.
authors: Vadim
authors: V
authors: Kotowicz
authors: Department of Interventional Radiology, Hospital Italiano, Buenos Aires, Argentina.
authors: Alberto
authors: A
authors: Kenny
authors: Department of Interventional Radiology, Hospital Italiano, Buenos Aires, Argentina.
authors: Andres Alejandro
authors: AA
authors: Kohan
authors: Department of Interventional Radiology, Hospital Italiano, Buenos Aires, Argentina.
authors: Ricardo
authors: R
authors: García-Mónaco
mesh_terms: D000369:Aged, 80 and over; D017130:Angioplasty; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans