Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report
Abstract Background Coarctation of the aorta (CoA) in adults is rare. usually combined with dilatation of the ascending aorta. Further disease progression complicated by hematoma or dissection of the ascending aorta is even more complicated and dangerous. Case presentation A 58-year-old male patient...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03204-w |
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| author | Haoyou Li Min Wang Haoyue Li Wenfeng Zhang Jiantao Wu Zhaozhuo Niu Lianjie Sun |
| author_facet | Haoyou Li Min Wang Haoyue Li Wenfeng Zhang Jiantao Wu Zhaozhuo Niu Lianjie Sun |
| author_sort | Haoyou Li |
| collection | DOAJ |
| description | Abstract Background Coarctation of the aorta (CoA) in adults is rare. usually combined with dilatation of the ascending aorta. Further disease progression complicated by hematoma or dissection of the ascending aorta is even more complicated and dangerous. Case presentation A 58-year-old male patient with CoA complicated by acute type A aortic intramural hematoma (IMH), who was treated with a two-stage hybrid approach involving an urgent Bentall repair procedure and subsequent endovascular stenting. A 4-year follow-up showed a good prognosis for the patient. Conclusion For patients with aortic coarctation combined with ascending aortic dissection/IMH, life-threatening proximal aortic lesions may be treated first. Secondary stent implantation can then be performed after stabilization to treat the congenital aortic coarctation. |
| format | Article |
| id | doaj-art-127a649c3586413dbed8f0e054893fec |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-127a649c3586413dbed8f0e054893fec2025-01-12T12:39:17ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011410.1186/s13019-024-03204-wAdult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case reportHaoyou Li0Min Wang1Haoyue Li2Wenfeng Zhang3Jiantao Wu4Zhaozhuo Niu5Lianjie Sun6Department of Cardiovascular Surgery, Qingdao Municipal HospitalDepartment of Medical Laboratory, Qingdao Municipal HospitalDepartment of Critical Care Medicine, Qilu Hospital of Shandong University Dezhou HospitalDepartment of Cardiovascular Surgery, Qingdao Municipal HospitalDepartment of Cardiovascular Surgery, Qingdao Municipal HospitalDepartment of Cardiovascular Surgery, Qingdao Municipal HospitalDepartment of Cardiovascular Surgery, Qingdao Municipal HospitalAbstract Background Coarctation of the aorta (CoA) in adults is rare. usually combined with dilatation of the ascending aorta. Further disease progression complicated by hematoma or dissection of the ascending aorta is even more complicated and dangerous. Case presentation A 58-year-old male patient with CoA complicated by acute type A aortic intramural hematoma (IMH), who was treated with a two-stage hybrid approach involving an urgent Bentall repair procedure and subsequent endovascular stenting. A 4-year follow-up showed a good prognosis for the patient. Conclusion For patients with aortic coarctation combined with ascending aortic dissection/IMH, life-threatening proximal aortic lesions may be treated first. Secondary stent implantation can then be performed after stabilization to treat the congenital aortic coarctation.https://doi.org/10.1186/s13019-024-03204-wCoarctation of the aortaHybrid technologyType a aortic intramural hematoma |
| spellingShingle | Haoyou Li Min Wang Haoyue Li Wenfeng Zhang Jiantao Wu Zhaozhuo Niu Lianjie Sun Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report Journal of Cardiothoracic Surgery Coarctation of the aorta Hybrid technology Type a aortic intramural hematoma |
| title | Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report |
| title_full | Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report |
| title_fullStr | Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report |
| title_full_unstemmed | Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report |
| title_short | Adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique: a case report |
| title_sort | adult congenital aortic coarctation complicated by acute type a aortic intramural hematoma treated with a staged hybrid technique a case report |
| topic | Coarctation of the aorta Hybrid technology Type a aortic intramural hematoma |
| url | https://doi.org/10.1186/s13019-024-03204-w |
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