Journal of cardiothoracic surgery · 2026
Endovascular repair of type B aortic dissection associated with coarctation: a case report.
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Liang Zhen, Chang Haiyang, Shao Guimei
Аннотация
BACKGROUND: Type B aortic dissection associated with aortic coarctation is an extremely rare condition. We present a case that was treated successfully by endovascular repair.
CASE PRESENTATION: A 46-year-old man was admitted to our hospital for severe chest pain radiating to his back. Contrast-enhanced computed tomography angiography revealed type B aortic dissection associated with coarctation at the distal end of the aortic arch. Combined treatment with angioplasty and endovascular stent-graft deployment was performed successfully. Three years later, contrast-enhanced computed tomography angiography showed that the coarctation had disappeared, with the residual dissection remaining asymptomatic.
CONCLUSION: For type B aortic dissection associated with aortic coarctation, endovascular repair seems to be an alternative to open surgery, especially for highly selected patients.
CASE PRESENTATION: A 46-year-old man was admitted to our hospital for severe chest pain radiating to his back. Contrast-enhanced computed tomography angiography revealed type B aortic dissection associated with coarctation at the distal end of the aortic arch. Combined treatment with angioplasty and endovascular stent-graft deployment was performed successfully. Three years later, contrast-enhanced computed tomography angiography showed that the coarctation had disappeared, with the residual dissection remaining asymptomatic.
CONCLUSION: For type B aortic dissection associated with aortic coarctation, endovascular repair seems to be an alternative to open surgery, especially for highly selected patients.