A successful stenting of the coarctation of aorta in a patient presented with acute pulmonary edema

Abstract

A 64-year-old female patient presented with heart failure with acute pulmonary edema due to severe aortic coarctation. After endotracheal intubation, aortogram was performed and revealed a severe luminal narrowing in the distal thoracic aorta with a peak systolic pressure gradient of 100 mm Hg across the lesion. Stent implantation was performed with 24 * 100 mm self-expandable Nitinol-S stent after predilation with 10 * 40 mm balloon. After stenting, the patient's symptom and sign of congestive heart failure were remarkably improved and able to remove endotracheal intubation tube, with no significant adverse cardiac events observed during a 1-year clinical follow-up.