Thoracic Endovascular Stent Graft Repair of Middle Aortic Syndrome

Abstract

Middle aortic syndrome is a rare disease defined as a segmental narrowing of the distal descending thoracic or abdominal aorta. A thoracoabdominal bypass or endovascular treatment is the choice of treatment. Endovascular therapy consists of a balloon dilatation and stent implantation. Recently, thoracic endovascular aortic repair has been widely used in a variety of aortic diseases. We report a case of middle aortic syndrome treated with a thoracic endovascular stent graft.

Severe midaortic syndrome: a stepwise approach to treatment with drug-eluting balloons: a case report

“…The reduced blood perfusion to the renal arteries causes severe renovascular hypertension. Effective therapeutic options are surgical with different modifications of aortoaortic bypass grafts 4 , 5 or interventional with the implantation of stents, 6 , 7 but results are not always satisfactory, particularly on long-term follow-up.…”

Late presentation of middle aortic syndrome complicated with severe aortic regurgitation; the role of endovascular intervention as a bridging for Bentall surgery

“…17,19,[22][23][24] ConclusionJ o u r n a l P r e -p r o o f Middle aortic syndrome usually presents with arterial hypertension and can lead to severe aortic regurgitation in the long term. Stent graft implantation in descending aorta can be used safely as a bridging for Bentall surgery to reduce blood pressure and relieve symptoms associated with hypertension and heart failure.J o u r n a l P r e -p r o o f…”