Recanalization of Atretic Aortic Arch in Teenager Guided by Cardiac Magnetic-Resonance

Q4 Medicine
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.
心脏磁共振引导下青少年闭锁主动脉弓再通
背景:在儿童中继发于主动脉弓完全闭塞的全身性高血压是一种罕见的病因。本病例报告描述了一名12岁女孩在心脏磁共振(CMR)和血管造影术指导下经皮主动脉再通术的成功治疗。CMR显示的锁骨段方向提示经皮介入治疗是可行的。冠状动脉导丝用于穿过锁骨弓,球囊可膨胀覆盖支架用于恢复管腔连续性。闭锁主动脉弓再通术是一种高风险的手术,因为有广泛的侧支循环。CMR在术前规划、详细描述血管解剖和侧支循环中起着关键作用。这篇综述说明了CMR在计划经皮介入治疗中作为一种可行的替代复杂解剖结构的高风险手术修复的重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JACC. Case reports
JACC. Case reports Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.30
自引率
0.00%
发文量
404
审稿时长
17 weeks
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