Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus
A 22-year-old man was referred to our hospital for rib notching found on a radiograph and hypertension. Computed tomography revealed coarctation of the descending aortic isthmus. Because he refused open surgery, endovascular treatment was performed. The 2-year follow-up computed tomography scan show...
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Language: | English |
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Elsevier
2022-09-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428722000557 |
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author | Takuya Hanazuka Tomoki Sakata, MD, PhD Hideki Ueda, MD, PhD Michiko Watanabe, MD, PhD Goro Matsumiya, MD, PhD |
author_facet | Takuya Hanazuka Tomoki Sakata, MD, PhD Hideki Ueda, MD, PhD Michiko Watanabe, MD, PhD Goro Matsumiya, MD, PhD |
author_sort | Takuya Hanazuka |
collection | DOAJ |
description | A 22-year-old man was referred to our hospital for rib notching found on a radiograph and hypertension. Computed tomography revealed coarctation of the descending aortic isthmus. Because he refused open surgery, endovascular treatment was performed. The 2-year follow-up computed tomography scan showed infolding of the stent graft and thrombus formation. He had presented with intermittent claudication; therefore, graft interposition was performed. Endovascular surgery plays an important role in the treatment of coarctation of the aorta. However, insufficient dilatation can lead to restenosis accompanied by thrombus formation, and excess ballooning can cause aortic wall injury. Careful performance of the procedure and close postoperative follow-up are essential. |
first_indexed | 2024-12-10T06:10:07Z |
format | Article |
id | doaj.art-8b5dc229261d48e0bc396d903b18ccfd |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-10T06:10:07Z |
publishDate | 2022-09-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-8b5dc229261d48e0bc396d903b18ccfd2022-12-22T01:59:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-09-0183338344Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombusTakuya Hanazuka0Tomoki Sakata, MD, PhD1Hideki Ueda, MD, PhD2Michiko Watanabe, MD, PhD3Goro Matsumiya, MD, PhD4School of Medicine, Chiba University, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan; Correspondence: Tomoki Sakata, MD, PhD, Department of Cardiovascular Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuou-ku, Chiba-shi, Chiba 2600028, JapanDepartment of Cardiovascular Surgery, Chiba University Hospital, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba University Hospital, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba University Hospital, Chiba, JapanA 22-year-old man was referred to our hospital for rib notching found on a radiograph and hypertension. Computed tomography revealed coarctation of the descending aortic isthmus. Because he refused open surgery, endovascular treatment was performed. The 2-year follow-up computed tomography scan showed infolding of the stent graft and thrombus formation. He had presented with intermittent claudication; therefore, graft interposition was performed. Endovascular surgery plays an important role in the treatment of coarctation of the aorta. However, insufficient dilatation can lead to restenosis accompanied by thrombus formation, and excess ballooning can cause aortic wall injury. Careful performance of the procedure and close postoperative follow-up are essential.http://www.sciencedirect.com/science/article/pii/S2468428722000557Coarctation of the aortaEndovascular treatmentLate open conversion |
spellingShingle | Takuya Hanazuka Tomoki Sakata, MD, PhD Hideki Ueda, MD, PhD Michiko Watanabe, MD, PhD Goro Matsumiya, MD, PhD Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus Journal of Vascular Surgery Cases and Innovative Techniques Coarctation of the aorta Endovascular treatment Late open conversion |
title | Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
title_full | Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
title_fullStr | Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
title_full_unstemmed | Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
title_short | Late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
title_sort | late open conversion after endovascular treatment for the coarctation of aorta in adult due to restenosis with thrombus |
topic | Coarctation of the aorta Endovascular treatment Late open conversion |
url | http://www.sciencedirect.com/science/article/pii/S2468428722000557 |
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