Isoda Ryutaro, Morita Ichiro, Mano Masayuki, Ishida Atsuhisa
Department of Surgery, Kawasaki Medical School General Medical Center, Okayama City, Okayama, Japan.
J Vasc Surg Cases Innov Tech. 2020 May 28;6(3):422-424. doi: 10.1016/j.jvscit.2020.05.006. eCollection 2020 Sep.
Coral reef aorta (CRA) is a rare aortic occlusive disease with calcified intraluminal lesions. We report the case of a patient with CRA who underwent endovascular treatment (EVT). A 78-year-old woman presented with intermittent claudication. A computed tomography scan showed a preocclusive calcified lesion in the infrarenal aorta. EVT with a balloon-expandable stent graft was successfully performed, and her intermittent claudication improved. Compared with the conventional surgical treatments for CRA, EVT with a balloon-expandable stent graft is less invasive. This procedure is an effective option for the treatment of CRA.
珊瑚礁样主动脉(CRA)是一种罕见的伴有管腔内钙化病变的主动脉闭塞性疾病。我们报告了1例接受血管内治疗(EVT)的CRA患者。一名78岁女性因间歇性跛行就诊。计算机断层扫描显示肾下腹主动脉有一个闭塞前钙化病变。成功实施了球囊扩张式覆膜支架血管内治疗,她的间歇性跛行症状得到改善。与CRA的传统外科治疗相比,球囊扩张式覆膜支架血管内治疗的侵入性较小。该手术是治疗CRA的一种有效选择。