Abstract
Percutaneous stenting angioplasty of native coarctation of the aorta is considered a low-risk procedure with high success rate. The incidence of cerebral complications, especially ischemic complications, is very low. We report a case of a 15-year-old boy who underwent a percutaneous stenting angioplasty for a coarctation of the aorta and developed a cerebral infraction 4 hours after the procedure.
Highlights
Coarctation of the aorta is a relatively common defect
The incidence of cerebral ischemic complications is very low, and the physiopathology is still unknown; it can be a result of an embolism, a variation in the cerebral blood flow, or a variation in the anatomy
We found two sacciform pseudoaneurysms in the descending aorta just below the stent; one is anterior measuring 25 mm with a collar of 8.5 mm and the other is lateral measuring 20.5 mm with a collar of 6 mm (Figure 3)
Summary
Coarctation of the aorta is a relatively common defect. It may occur as an isolated defect or in association with a variety of other lesions, most commonly bicuspid aortic valve. The endovascular stent angioplasty in the treatment of coarctation holds multiple theoretic advantages; there is no requirement for an intimal tear with a stent, so the risk for aortic wall injury is lower [1]. The major reported complications of the angioplasty are death, rupture of the aorta, recoarctation, aneurysm formation at the site of repair, cerebrovascular accident, and femoral artery thrombosis [2]. The incidence of cerebral ischemic complications is very low, and the physiopathology is still unknown; it can be a result of an embolism, a variation in the cerebral blood flow, or a variation in the anatomy
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