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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Main Authors: Takuya Hanazuka, Tomoki Sakata, MD, PhD, Hideki Ueda, MD, PhD, Michiko Watanabe, MD, PhD, Goro Matsumiya, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
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.
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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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