Aortic “Coral Reef” with Visceral Artery Involvement: Treatment Options

Rinaldi, Enrico; Kahlberg, Andrea; Mascia, Daniele; Melissano, Germano; Chiesa, Roberto

doi:10.1007/978-3-319-94761-7_4

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…In Takayasu arteritis, late-phase aortic stenosis presents with a reduction in aortic diameter itself, whereas CRA typically presents with a normal aortic diameter complicated by extensive calcified plaques. Most patients with CRA exhibit typical atherosclerotic risk factors such as heavy smoking, which is uncommon in Takayasu arteritis [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Strategies and Long-Term Outcomes for Complex Coral Reef Aorta with Multisegmental Involvement: A Case Report

Kim,

Park,

Hwang

et al. 2024

Vasc Specialist Int

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Coral reef aorta (CRA) is a rare condition characterized by the distribution of rock-hard calcifications in the visceral part of the aorta, leading to potentially life-threatening symptoms, such as hypertension, congestive heart failure, and limb and visceral ischemia. The patient was a 54-year-old female who presented with leg claudication and was diagnosed with CRA using computed tomography. CRA affected the descending thoracic and abdominal aortas, including the visceral portion, leading to reduced perfusion of both limbs and the left kidney. The surgical intervention involved bypass surgery from the descending thoracic aorta proximal to the CRA to the aortic bifurcation, including reimplantation of the left renal artery. Postoperative recovery was successful and the symptoms resolved. However, the patient experienced decreased right renal function due to CRA progression three years postoperatively. Given the uncertainty regarding the optimal surgical approach for CRA, long-term considerations are crucial for its management.

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Section: Discussionmentioning

confidence: 99%