Novel use of intravascular lithotripsy for coral reef aorta: a case report.

ABSTRACT:

Background

The coral reef aorta (CRA) is a rare disease of extreme calcification in the juxtarenal aorta. These heavily calcified exophytic plaques grow into the lumen and can cause significant stenoses, leading to visceral ischaemia, renovascular hypertension, and claudication. Surgery or percutaneous intervention with stenting carries a high risk of complications and mortality.

Case summary

A 67-year-old female had presented with severe hypertension and exercise limiting claudication for 18 months. On evaluation, she was found to have severe bilateral renal artery stenoses with juxtarenal CRA causing subtotal occlusion. Both renal arteries were stented. For CRA, we used intravascular lithotripsy (IVL) assisted plain balloon angioplasty to minimize possibilities of major di

SUBMITTER: Chag MC 

PROVIDER: S-EPMC8188876 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature