A Case of Endovascular Treatment for an Atypical Aortic Coarctation with Severe Calcification in a Patient with Hypertensive Heart Failure
- VernacularTitle:高血圧性心不全を契機に診断した高度石灰化を伴う異型大動脈縮窄症に対して血管内治療を施行した1例
- Author:
Keita HAYASHI
1
;
Takurin AKIYOSHI
2
Author Information
- Publication Type:Journal Article
- Keywords: atypical aortic coarctation; endovascular treatment; peripheral artery disease; hypertensive heart failure
- From:Japanese Journal of Cardiovascular Surgery 2021;50(5):322-327
- CountryJapan
- Language:Japanese
- Abstract: A 52-year-old male was admitted to our hospital through the emergency room due to dyspnea and hypertensive heart failure. Computer tomography revealed atypical aortic coarctation with stenosis and calcification just above the superior mesenteric artery. Calcium channel blocker significantly reduced hypertension and improved heart failure, while his creatine elevated rapidly, and he presented acute renal failure. Endovascular self-expanding stent implantation in the aorta was performed in order to restore renal blood flow. The postoperative course was uneventful, and the patient was discharged on the third day after the procedure. The cardiac function recovered immediately, and the patient no longer required antihypertensive agents. There have been many reported cases of endovascular correction of atypical aortic coarctation overseas. Nevertheless, due to reimbursement issue in the health care system, the majority of atypical aortic coarctation cases in Japan are treated with open surgery. Endovascular treatment should be endorsed as an option for its short procedural time, minimal invasiveness and brief hospital stay.
