Recanalization of Atretic Aortic Arch in Teenager Guided by Cardiac Magnetic-Resonance: Case Report and Literature Review.

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 we

SUBMITTER: Abed M 

PROVIDER: S-EPMC12273825 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature