Pseudocoarctation following elephant trunk intervention
We describe the case of a 55-year-old man with a pseudocoarctation of the descending aorta following a conventional elephant trunk technique. The patient underwent aortic arch replacement with the conventional elephant trunk technique. After the operation, he had developed an increasing creatinine l...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723002940 |
| _version_ | 1797248259044933632 |
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| author | Joseph F. Zywiciel, BS Manuel Rojo, MD Jeffrey Schwartz, MD |
| author_facet | Joseph F. Zywiciel, BS Manuel Rojo, MD Jeffrey Schwartz, MD |
| author_sort | Joseph F. Zywiciel, BS |
| collection | DOAJ |
| description | We describe the case of a 55-year-old man with a pseudocoarctation of the descending aorta following a conventional elephant trunk technique. The patient underwent aortic arch replacement with the conventional elephant trunk technique. After the operation, he had developed an increasing creatinine level, hemolysis, and cyanosis of his toes. Femoral arterial line placement confirmed a 50-mm Hg systolic pressure gradient between his radial and femoral arteries. Computed tomography angiography revealed that the elephant trunk graft within the true lumen was compressed, resulting in a pseudocoarctation. The patient was successfully treated with thoracic endovascular aneurysm repair. |
| first_indexed | 2024-03-08T13:01:57Z |
| format | Article |
| id | doaj.art-1e9651839c5f4215a78879d27b492e90 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T20:11:44Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-1e9651839c5f4215a78879d27b492e902024-03-23T06:25:32ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101385Pseudocoarctation following elephant trunk interventionJoseph F. Zywiciel, BS0Manuel Rojo, MD1Jeffrey Schwartz, MD2Loyola Stritch School of Medicine, Maywood, IL; Correspondence: Joseph F. Zywiciel, BS, Loyola Stritch School of Medicine, 1560 Suncrest Lane, Maywood, IL 60490Department of Cardiothoracic Surgery, Loyola University Medical Center, Maywood, ILDepartment of Cardiothoracic Surgery, Loyola University Medical Center, Maywood, ILWe describe the case of a 55-year-old man with a pseudocoarctation of the descending aorta following a conventional elephant trunk technique. The patient underwent aortic arch replacement with the conventional elephant trunk technique. After the operation, he had developed an increasing creatinine level, hemolysis, and cyanosis of his toes. Femoral arterial line placement confirmed a 50-mm Hg systolic pressure gradient between his radial and femoral arteries. Computed tomography angiography revealed that the elephant trunk graft within the true lumen was compressed, resulting in a pseudocoarctation. The patient was successfully treated with thoracic endovascular aneurysm repair.http://www.sciencedirect.com/science/article/pii/S2468428723002940Aortic diseaseConventional elephant trunkPseudocoarctation |
| spellingShingle | Joseph F. Zywiciel, BS Manuel Rojo, MD Jeffrey Schwartz, MD Pseudocoarctation following elephant trunk intervention Journal of Vascular Surgery Cases and Innovative Techniques Aortic disease Conventional elephant trunk Pseudocoarctation |
| title | Pseudocoarctation following elephant trunk intervention |
| title_full | Pseudocoarctation following elephant trunk intervention |
| title_fullStr | Pseudocoarctation following elephant trunk intervention |
| title_full_unstemmed | Pseudocoarctation following elephant trunk intervention |
| title_short | Pseudocoarctation following elephant trunk intervention |
| title_sort | pseudocoarctation following elephant trunk intervention |
| topic | Aortic disease Conventional elephant trunk Pseudocoarctation |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723002940 |
| work_keys_str_mv | AT josephfzywicielbs pseudocoarctationfollowingelephanttrunkintervention AT manuelrojomd pseudocoarctationfollowingelephanttrunkintervention AT jeffreyschwartzmd pseudocoarctationfollowingelephanttrunkintervention |