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Refractory Heart Failure Due to Acquired Aortic Coarctation After Total Arch Replacement: Find the Right Antidote!

Year: 2025

Type: article

Abstract: A 31-year-old male presented with unexplainable symptoms of heart failure including recurrent fatigue and orthopnoea after total arch replacement for type A aortic dissection 2 months ago. Computed tomography angiography detected a severe intra-luminal stenosis, and we successfully implanted a balloon-expandable stent to dilate the stenosis. The patient with improved haemodynamics after endovascular reintervention remains stable at 2 years. The case provides a feasible endovascular therapy for heart failure caused by post-surgery aortic coarctation.

Source: ESC Heart Failure

DOI: 10.1002/ehf2.14629

Authors: Yi Xie, Chen Lu, Jia Hu

Institutions: Sichuan University, West China Hospital of Sichuan University

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,850