Patient: Suddenly at noon one day in the middle of October last year, he had severe pain in his back and was diagnosed with aortic coarctation.
On October 26 last year, a large vessel stent was implanted. The location was in the descending part of the aortic arch and the upper part of the descending aorta, and the pseudo-lumen there basically disappeared after the review. However, there is still a rupture in the bifurcation of the aorta to the left kidney, and the doctor said that it is not suitable for stenting. Currently, the abdominal aorta is double-lumen. The left common iliac artery, the opening of the internal iliac artery, and the opening of the left renal artery are involved in the clamping, and the left common iliac artery has a rupture, and the left renal artery is riding across both the true and false lumen. The main concern is to control the blood pressure.
How to treat this condition? Jiang Xionggang, Department of Cardiac Surgery, Wuhan Union Medical College Hospital