Middle aortic syndrome, severe hypertension, and endovascular repair

González-Ferrer, Juan José; Balbacid, Enrique; Vilacosta, Isidre

doi:10.1093/eurheartj/ehp174

Cited by 4 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, the treatment that we selected was not conventional for this type of pathology. Although percutaneous treatment of acquired aortic coarctation has been proposed,8, 9 management of such a heavily calcified and complex lesion can be treacherous. Conventional surgery should be advocated for most patients, especially when the expertise in percutaneous treatment of such complex cases is not available 5, 10.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of acquired atheromatous aortic arch coarctation

Kische¹,

D’Ancona²,

Ortak³

et al. 2015

Journal of Vascular Surgery Cases

View full text Add to dashboard Cite

Acquired aortic coarctation is a rare condition. Its treatment using a percutaneous approach can be challenging, especially when severe calcifications and concomitant aneurysmal disease are present. We report a patient with symptomatic thoracic aorta acquired coarctation and aneurysm that was successfully treated using endovascular technique. After left subclavian artery transposition, a self-expanding endograft was implanted percutaneously, with complete abolishment of the transaortic gradient. Follow-up evaluation at 12 months revealed perfect position of the endograft, persistent reduction of the coarctation, and exclusion of the concomitant aneurysm. A noninvasive pressure reading demonstrated significant systemic blood pressure reduction, with no change in antihypertensive medications.

show abstract

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of acquired atheromatous aortic arch coarctation

Kische¹,

D’Ancona²,

Ortak³

et al. 2015

Journal of Vascular Surgery Cases

View full text Add to dashboard Cite

show abstract

“…Most authors agree that these patients should undergo revascularization whenever feasible. Aorto-aortic bypass, patch aortoplasty, and percutaneous techniques are the most frequent approaches used for the treatment of patients with middle aortic syndrome [6, 7]. However, the complexity of the disease often makes revascularization surgery difficult because diffuse collateral circulations were formed in the abdominal wall and viscera, resulting in a high rate of restenosis.…”

mentioning

confidence: 99%

Letters to Editor Hypertension without renovascular stenosis: a rare case of abdominal aorta coarctation treated with percutaneous transluminal angioplasty

Ding

Jiang²,

Li³

et al. 2012

aoms

View full text Add to dashboard Cite

Middle Aortic Syndrome

Rabellino

García-Nielsen

Gonzalez

et al. 2010

Journal of the American College of Cardiology

View full text Add to dashboard Cite

A 46-year-old female patient was admitted with signs of lower limb ischemia. Her examination demonstrated a nonpalpable distal pulse. Computed tomography angiography revealed an anomalous origin of both renal arteries (A, B) and severe aortic narrowing between the renal arteries, confirmed by the angiogram (C). The diagnosis was middle aortic syndrome (1). Endovascular treatment was decided on, and a balloon-expandable covered stent (Jomed, Abbott Laboratories, Abbott Park, Illinois) was placed, with good stent expansion (D). Physical examination revealed distal pulse recovery. At 5 months, the patient remains asymptomatic. Computed tomography angiography showed stent patency (E, F). Middle aortic syndrome refers to an isolated disease of the thoracoabdominal aorta causing segmental narrowing. It is often associated with hypertension in childhood. This is a rare case of middle aortic syndrome with lower limb ischemia successfully resolved with endovascular treatment. REFERENCE 1. González-Ferrer JJ, Balbacid E, Vilacosta I. Middle aortic syndrome, severe hypertension, and endovascular repair. Eur Heart J 2009;30:1553.

show abstract

Middle aortic syndrome, severe hypertension, and endovascular repair

Cited by 4 publications

References 0 publications

Endovascular treatment of acquired atheromatous aortic arch coarctation

Endovascular treatment of acquired atheromatous aortic arch coarctation

Letters to Editor Hypertension without renovascular stenosis: a rare case of abdominal aorta coarctation treated with percutaneous transluminal angioplasty

Middle Aortic Syndrome

Contact Info

Product

Resources

About