Surgical Strategies and Long-Term Outcomes for Complex Coral Reef Aorta with Multisegmental Involvement: A Case Report
- Author:
Hyung-Kee KIM
1
;
Suehyun PARK
;
Deokbi HWANG
;
Woo-Sung YUN
;
Seung HUH
Author Information
- Publication Type:Case Report
- From:Vascular Specialist International 2024;40(1):2-
- CountryRepublic of Korea
- Language:English
- Abstract: Coral reef aorta (CRA) is a rare condition characterized by the distribution of rockhard calcifications in the visceral part of the aorta, leading to potentially lifethreatening symptoms, such as hypertension, congestive heart failure, and limb and visceral ischemia. The patient was a 54-year-old female who presented with leg claudication and was diagnosed with CRA using computed tomography. CRA affected the descending thoracic and abdominal aortas, including the visceral portion, leading to reduced perfusion of both limbs and the left kidney. The surgical intervention involved bypass surgery from the descending thoracic aorta proximal to the CRA to the aortic bifurcation, including reimplantation of the left renal artery. Postoperative recovery was successful and the symptoms resolved. However, the patient experienced decreased right renal function due to CRA progression three years postoperatively. Given the uncertainty regarding the optimal surgical approach for CRA, long-term considerations are crucial for its management.
