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

IF 2.7 3区医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Clinical Hypertension Pub Date : 2024-07-05 DOI:10.1111/jch.14847

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

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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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主动脉共动脉症并发双侧髂动脉夹层：罕见病例

主动脉共动脉症（CoA）合并心脏缺损或脑动脉瘤在临床上较为常见。然而，并发双侧髂动脉夹层（IAD）的病例却极为罕见，且尚未见报道。在此，我们描述了一例 CoA 合并双侧 IAD 的病例。患者是一名 62 岁的男性，出现急性间歇性跛行，行走后伴有双下肢疼痛和酸痛。经过详细的病史询问和检查，患者被诊断为急性双侧 IAD 合并 CoA。患者接受了血管内治疗。术后，主动脉直径恢复，双侧 IAD 消失，治疗效果令人满意。综上所述，主动脉粥样硬化合并 IAD 的血管内治疗是一种有效的治疗方法，可以提高患者的生存率，改善其生活质量。

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来源期刊

Journal of Clinical Hypertension PERIPHERAL VASCULAR DISEASE-

CiteScore

5.80

自引率

7.10%

发文量

191

审稿时长

4-8 weeks

期刊介绍： The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.