Rerouting of Cerebral Circulation: Extensive Transcatheter Aortic Arch Revision

R Allen Ligon; Denver Sallee; Sassan Hashemi; Clifford M Hawkins; Christopher J Petit

doi:10.1016/j.jaccas.2020.03.038

Rerouting of Cerebral Circulation: Extensive Transcatheter Aortic Arch Revision

JACC Case Rep. 2020 Jun 17;2(6):855-859. doi: 10.1016/j.jaccas.2020.03.038. eCollection 2020 Jun.

Authors

R Allen Ligon¹, Denver Sallee¹, Sassan Hashemi¹, Clifford M Hawkins¹, Christopher J Petit¹

Affiliation

¹ Children's Healthcare of Atlanta, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.

Abstract

We describe an adolescent with long-standing atresia of the head/neck arteries and severe aortic coarctation. Because of progressive symptoms, a series of interventions was undertaken to provide direct aorta-to-carotid artery flow and coarctation treatment. This case highlights the unusual physiological features associated with atresia of all head and neck arteries. (Level of Difficulty: Advanced.).

Keywords: CTA, computed tomographic angiography; RCA, right carotid artery; RIA, right innominate artery; TAAD, thoracic aortic aneurysm and dissection; cardiac catheterization; carotid artery; pediatric cardiology; vascular recanalization.

Publication types

Case Reports