The Journal of Clinical Hypertension (Aug 2024)

Coarctation of the aorta complicated with bilateral iliac artery dissection: A rare case

  • Wenye He,
  • Yuhan Zhang,
  • Luyao Wang,
  • Hongsong Qin,
  • Dawei Zhang,
  • Qingzhi Hao

DOI
https://doi.org/10.1111/jch.14847
Journal volume & issue
Vol. 26, no. 8
pp. 986 – 989

Abstract

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Abstract The coarctation of the aorta (CoA) combined with heart defects or cerebral artery aneurysms is more prevalent in clinical practice. However, cases of concurrent bilateral iliac artery dissection (IAD) are extremely rare and have not been reported. Here, we described a case with CoA combined with bilateral IAD. The patient, a 62‐year‐old male, presented with acute intermittent claudication accompanied by pain and aching in both lower limbs after walking. Following a thorough medical history inquiry and examination, the patient was diagnosed with acute bilateral IAD combined with CoA. The patient underwent endovascular treatment. Postoperatively, the aortic diameter recovered, and the bilateral IAD disappeared, yielding satisfactory therapeutic results. Conclusively, endovascular treatment of aortic coarctation combined with IAD is an effective therapeutic approach, enhancing patient survival and improving their quality of life.

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