RT Journal Article
SR Electronic
T1 Medical management of coral reef aorta through optimised diuretic use and angiotensin receptor blockade
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e242724
DO 10.1136/bcr-2021-242724
VO 14
IS 6
A1 Nicodemus Edrick Oey
A1 Haresh Tulsidas
A1 Krithikaa Nadarajan
YR 2021
UL http://casereports.bmj.com/content/14/6/e242724.abstract
AB Coral reef aorta (CRA) is a rare condition with potentially devastating complications. It is characterised by atherosclerotic calcification and stenosis of the visceral part of the aorta, usually occurring at the juxtarenal or suprarenal locations, and causing refractory hypertension and renal dysfunction. Surgical intervention, which is the recommended definitive treatment, is associated with significant morbidity and mortality. Endovascular stenting has been reported to be an alternative management option. To the best of our knowledge, this is the first case report to describe medical management of a patient with CRA with diuretics and angiotensin receptor blockade without surgical treatment.