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CASE REPORT
Treatment of symptomatic coral reef aorta by a nitinol self-expanding stent
  1. Rajesh Vijayvergiya1,
  2. Shadaab Mohammed1,
  3. Kewal Kanabar1 and
  4. Arunangshu Behera2
  1. 1 Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Rajesh Vijayvergiya, rajeshvijay999{at}hotmail.com

Abstract

Coral reef aorta (CRA) is a rare condition, characterised by rock-hard calcification of the juxta-renal and supra-renal aorta with luminal encroachment causing significant stenosis of the aorta and its branches. It usually presents as resistant hypertension, renal dysfunction, mesenteric ischaemia, limb claudication or embolic manifestations. Although surgical thrombo-endarterectomy along with bypass graft to the affected visceral arteries remains the cornerstone of treatment, it is associated with considerable mortality and morbidity, especially in patients with pre-existing comorbidities. Here we report an elderly female of resistant hypertension, who had successful endovascular aortic stenting using a non-graft self-expanding stent. Her blood pressure dramatically improved following endovascular management. In comparison to the conventional surgical approach, endovascular stenting can be an alternative, less invasive approach in selected CRA patients.

  • interventional cardiology
  • radiology (diagnostics)
  • cardiothoracic surgery
  • vascular surgery
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Footnotes

  • Contributors RV conceived the study, was involved in acquisition of data, drafting and approval of the manuscript. SM was involved in drafting the article. KK was involved in revising the article. AB was involved in final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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