Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management

A 42-year-old male patient presented with refractory hypertension and congestive heart failure. He had taken hydrochlorthiazide 50 mg, carvedilol 25 mg, diltiazem 180 mg, and losartan 100 mg per day. Aortogram revealed a severe luminal narrowing in the distal thoracic aorta with a peak systolic pres...

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Autores principales: Kim, Weon, Park, Chung Su, Kim, Hee Jong, Kim, Kyung Hwan, An, Hye Mi, Kim, Yeon Hwa, Lim, Chur Hoan, Kang, Won Yu, Hwang, Sun Ho, Kim, Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Echocardiography 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3209594/
https://www.ncbi.nlm.nih.gov/pubmed/22073325
http://dx.doi.org/10.4250/jcu.2011.19.3.144
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author Kim, Weon
Park, Chung Su
Kim, Hee Jong
Kim, Kyung Hwan
An, Hye Mi
Kim, Yeon Hwa
Lim, Chur Hoan
Kang, Won Yu
Hwang, Sun Ho
Kim, Wan
author_facet Kim, Weon
Park, Chung Su
Kim, Hee Jong
Kim, Kyung Hwan
An, Hye Mi
Kim, Yeon Hwa
Lim, Chur Hoan
Kang, Won Yu
Hwang, Sun Ho
Kim, Wan
author_sort Kim, Weon
collection PubMed
description A 42-year-old male patient presented with refractory hypertension and congestive heart failure. He had taken hydrochlorthiazide 50 mg, carvedilol 25 mg, diltiazem 180 mg, and losartan 100 mg per day. Aortogram revealed a severe luminal narrowing in the distal thoracic aorta with a peak systolic pressure gradient of 60 mmHg across the lesion. Endovascular management was performed with 22 × 80 mm self-expandable Nitinol-S stent after predilation with 10 × 40 mm balloon. After endovascular management, the patient's blood pressure, left ventricular ejection fraction (LVEF) and dilated LV dimension were remarkably improved.
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spelling pubmed-32095942011-11-09 Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management Kim, Weon Park, Chung Su Kim, Hee Jong Kim, Kyung Hwan An, Hye Mi Kim, Yeon Hwa Lim, Chur Hoan Kang, Won Yu Hwang, Sun Ho Kim, Wan J Cardiovasc Ultrasound Case Report A 42-year-old male patient presented with refractory hypertension and congestive heart failure. He had taken hydrochlorthiazide 50 mg, carvedilol 25 mg, diltiazem 180 mg, and losartan 100 mg per day. Aortogram revealed a severe luminal narrowing in the distal thoracic aorta with a peak systolic pressure gradient of 60 mmHg across the lesion. Endovascular management was performed with 22 × 80 mm self-expandable Nitinol-S stent after predilation with 10 × 40 mm balloon. After endovascular management, the patient's blood pressure, left ventricular ejection fraction (LVEF) and dilated LV dimension were remarkably improved. Korean Society of Echocardiography 2011-09 2011-09-30 /pmc/articles/PMC3209594/ /pubmed/22073325 http://dx.doi.org/10.4250/jcu.2011.19.3.144 Text en Copyright © 2011 Korean Society of Echocardiography http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Weon
Park, Chung Su
Kim, Hee Jong
Kim, Kyung Hwan
An, Hye Mi
Kim, Yeon Hwa
Lim, Chur Hoan
Kang, Won Yu
Hwang, Sun Ho
Kim, Wan
Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title_full Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title_fullStr Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title_full_unstemmed Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title_short Hypertensive Heart Failure Associated with Middle Aortic Syndrome Reversed Dramatically by Endovascular Management
title_sort hypertensive heart failure associated with middle aortic syndrome reversed dramatically by endovascular management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3209594/
https://www.ncbi.nlm.nih.gov/pubmed/22073325
http://dx.doi.org/10.4250/jcu.2011.19.3.144
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