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  • Title: Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation.
    Author: Parodi JC, Ferreira LM, Faella H, La Mura R, Ruslender E, Henestrosa G.
    Journal: J Vasc Surg; 2007 Jun; 45(6):1263-7. PubMed ID: 17543695.
    Abstract:
    We report our experience with one patient with recurrent coarctation and aneurysm degeneration treated endoluminally. A novel technique was used combining balloon-expandable with self-expandable endografts. The balloon-expandable component expanded the area of stenosis and also created a neck to allow the implantation of the self-expandable endograft to exclude the aneurysm. Mismatch of diameters was solved with the creation of a new proximal neck, in which the distal end was progressively expanded to reach the appropriate diameter to implant the self-expandable endograft inside. Expansion of the narrow stenosis and complete exclusion of the aneurysm was achieved without a residual pressure gradient.
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