title: Self-Expandable Stent for Repairing Coarctation of the Left-Circumferential Aortic Arch with Right-sided Descending Aorta and Aberrant Right Subclavian Artery with Kommerell's Aneurysm.
abstract: Endovascular treatment offers a great advantage in the management of main arteries stenoses. However, simultaneous presence of a group of anomalies may complicate the situation. Here we present a case of 21-year-old man with aortic coarctation. Radiographic imaging and angiography demonstrated aortic coarctation of the left-circumferential aortic arch, right-sided descending aorta, and Kommerell's diverticulum at the origin of right subclavian artery. These anomalies have rarely been reported to concurrently exist in the same case and the treatment is challenging. Percutaneous treatment for repair of aortic coarctation was successfully performed with deployment of self-expanding nitinol stents. Follow-up demonstrated the correction of blood pressure and improvement of the symptoms. It appears that deployment of self-expandable nitinol stents present a viable option for the management of coarcted aorta in patients having all or some of these anomalies together.
authors.affiliation: Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Khajali
authors.affiliation: Cardiac Intervention Research Center, Rajaie Cardiovascular Medical & Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Sanati
authors.affiliation: Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Pouraliakbar
authors.affiliation: Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran. Electronic address: roodbar@yahoo.com.
authors.forename: Bahram
authors.initials: B
authors.lastname: Mohebbi
authors.affiliation: Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Kamran
authors.initials: K
authors.lastname: Aeinfar
authors.affiliation: Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Zolfaghari
mesh_terms: D000015:Abnormalities, Multiple; D000497:Alloys; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography / Q000379:methods; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000000981:diagnostic imaging; D000072226:Computed Tomography Angiography; D003680:Deglutition Disorders / Q000150:complications* / Q000000981:diagnostic imaging; D004240:Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000497:Alloys; C013616:nitinol