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Refractory heart failure due to acquired aortic coarctation after total arch replacement: find the right antidote!

作者信息

Xie Yi, Lu Chen, Hu Jia

机构信息

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guo Xue Alley 37, Chengdu, 610041, Sichuan Province, China.

Department of Cardiothoracic Surgery, Guang'an Hospital of West China Hospital of Sichuan University, Guang'an, Sichuan Province, China.

出版信息

ESC Heart Fail. 2025 Jun;12(3):2391-2395. doi: 10.1002/ehf2.14629. Epub 2025 Mar 6.

Abstract

A 31-year-old male presented with unexplainable symptoms of heart failure including recurrent fatigue and orthopnoea after total arch replacement for type A aortic dissection 2 months ago. Computed tomography angiography detected a severe intra-luminal stenosis, and we successfully implanted a balloon-expandable stent to dilate the stenosis. The patient with improved haemodynamics after endovascular reintervention remains stable at 2 years. The case provides a feasible endovascular therapy for heart failure caused by post-surgery aortic coarctation.

摘要

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