Mohammad Abed MD , Shi-Joon Yoo MD, PhD , Lee N. Benson MD
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引用次数: 0
Abstract
Background
Systemic hypertension secondary to total occlusion of the aortic arch is a rare etiology in children.
Case Summary
This case report describes the successful management of a 12-year-old girl with an atretic aortic arch by percutaneous recanalization guided by cardiac magnetic resonance (CMR) and angiography. The orientation of the atretic segment seen by CMR suggested a percutaneous intervention would be feasible. A coronary guidewire was used to traverse the atretic arch, and a balloon-expandable covered stent was deployed to restore luminal continuity.
Discussion
Atretic aortic arch recanalization is a high-risk surgical procedure owing to extensive collateral circulation. CMR plays a key role in preprocedural planning, detailing the vascular anatomy as well as collateral circulation.
Take-Home Message
This review illustrates the important role of CMR in planning percutaneous interventions as a feasible alternative to high-risk surgical repair in complex anatomies.