Gahlan Preeti, Nair Rajesh, Ali Faeez Mohamad, Pasupati Sanjeevan
Department of Cardiology, Waikato Hospital, Te Whatu Ora (Health New Zealand), Hamilton, Waikato, New Zealand.
Department of Cardiology, Waikato Hospital, Te Whatu Ora (Health New Zealand), Hamilton, Waikato, New Zealand.
JACC Case Rep. 2025 Jun 4;30(13):103537. doi: 10.1016/j.jaccas.2025.103537.
Coarctation of aorta (CoA) in adults is often diagnosed incidentally during the work-up for secondary or resistant hypertension causes, making it one of the treatable causes of hypertension. Treatment options range from surgery to transcatheter interventions. We present 2 cases of complex coarctation anatomy managed successfully with a transcatheter approach, facilitated by meticulous planning using advanced imaging techniques. The first case had long-segment CoA, which required deployment of a custom-made 120-mm-long Cheatham platinum stent. The second case had coarctation associated with a hypoplastic arch and left subclavian ostial stenosis, which was managed with a combination of covered and uncovered stent. Both patients showed good postprocedural outcomes, which were confirmed by means of 3-month follow-up computed tomography demonstrating well expanded stents, no endoleak, complete exclusion of aneurysms, and well perfused great vessels.
成人主动脉缩窄（CoA）常在继发性或难治性高血压病因的检查过程中被偶然诊断出来，这使其成为高血压的可治疗病因之一。治疗选择包括手术和经导管介入治疗。我们介绍了2例复杂主动脉缩窄解剖结构的病例，通过使用先进成像技术进行细致规划，成功采用经导管方法进行了处理。第一例为长节段CoA，需要植入定制的120毫米长的Cheatham铂金支架。第二例主动脉缩窄合并主动脉弓发育不全和左锁骨下动脉开口狭窄，采用覆膜支架和非覆膜支架联合治疗。两名患者术后均显示出良好的结果，通过3个月的随访计算机断层扫描得到证实，显示支架充分扩张，无内漏，动脉瘤完全排除，大血管血运良好。
