The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

HOW SHOULD I TREAT?

How should I treat an asymptomatic aortic coarctation with a concomitant dissection of the descending aorta?

EuroIntervention 2017;12:2037-2040. DOI: 10.4244/EIJ-D-16-00169

1. Interventional Cardiology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; 2. Cardiovascular Image Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; 3. Aortic Disease Department, Hospital de la Santa Creu i Sant Pau


CASE SUMMARY

BACKGROUND: A 53-year-old male with a prior history of refractory arterial hypertension was admitted to our institution because of headache and high blood pressure, 220/120 mmHg. With the suspicion of an aortic dissection a CTA was performed.

INVESTIGATION: The aortic CTA revealed an aortic coarctation with chronic type B dissection of the descending aorta up to both iliac arteries. Transthoracic echocardiography showed a bicuspid valve with severe regurgitation, but normal LV volume and function.

DIAGNOSIS: Bicuspid valve, aortic coarctation and chronic type B dissection of the descending aorta.

MANAGEMENT: Percutaneous stenting (covered stent) of ...

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