The coral reef aorta - a single centre experience in 70 patients

Grotemeyer, D.; Pourhassan, S.; Rehbein, Hermann; Voiculescu, Adina; Reinecke, Petra; Sandmann, W.

doi:10.1055/s-0031-1278258

Cited by 53 publications

(71 citation statements)

References 24 publications

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“…The estimated frequency of this disease ranges between 0.6% and 1.8% in the aortoiliac occlusive disease [2]. The definition of this disease relies entirely on the unique aspects and consistency of lesions that comprise rock-hard, irregular gritty plaques with a white luminal surface morphologically resembling a coral reef, and unusual calcification severity upon pathological examination.…”

Section: Discussionmentioning

confidence: 99%

“…Coral reef aorta is essentially treated by conventional surgery comprising thromboendarterectomy, resection of the calcified thrombus and graft replacement of the aorta, or placement of a thoracoabdominal bypass graft [1][2][3][4][5][6]. These direct aortic surgeries are more invasive, and some authors have described an operative mortality rate of 8.7-11.6% and a 13.9-15.9% rate of postoperative complications requiring corrective surgery [2,5].…”

Section: Discussionmentioning

confidence: 99%

“…These direct aortic surgeries are more invasive, and some authors have described an operative mortality rate of 8.7-11.6% and a 13.9-15.9% rate of postoperative complications requiring corrective surgery [2,5]. The general condition of such morbid patients at the time of referral is usually sick, thereby potentially prohibiting conventional surgical repair consisting of multilevel invasive surgical exposure of target vessels [4].…”

Section: Discussionmentioning

confidence: 99%

“…Axillofemoral extra-anatomical bypass grafting takes less operative time, a shorter period under anesthesia and a smaller skin incision than other direct aortic therapies [1][2][3][4][5][6]8] and it does not require aortic cross clamping that can confer cardiac after loading. Donaldson et al reported an operative mortality rate of 1.1% for axillofemoral bypass grafting [9].…”

Section: Discussionmentioning

confidence: 99%

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Congestive heart failure due to coral reef thoracoabdominal aorta

Sato

Sakurai

Kaneda

et al. 2011

Interactive CardioVascular and Thoracic Surgery

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Acquired coarctation due to coral reefs is a rare and unique entity characterized by extensively calcified thrombus of the entire aorta. There are few reports of coral reef aorta resulting in severely congestive heart failure in the literature. We describe a 60-year-old female with acute heart failure. Computed tomography (CT)-scan and magnetic resonance imaging (MRI) revealed that the cause of the heart failure was cardiac after-load mismatch due to serious stenosis of the aorta. In order to prevent cardio-respiratory failure, an axillofemoral bypass was performed to release the cardiac after-load mismatch. This diminished the pressure gradient between upper and lower blood pressure that caused cardiac dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Congestive heart failure due to coral reef thoracoabdominal aorta

Sato

Sakurai

Kaneda

et al. 2011

Interactive CardioVascular and Thoracic Surgery

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“…All underwent aortic thromboendarterectomy with removal of a calcified mass which extended from the coeliac axis to the renal arteries. Grotemeyer et al 9 published a series of 70 patients treated surgically over 23 years. Operative mortality was over 11% emphasising the risk with open surgery; however, long-term follow-up showed that hypertension was generally well controlled.…”

Section: Discussionmentioning

confidence: 99%

Treatment of symptomatic coral reef aorta with an uncovered stent graft

2014

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Coral reef aorta is a rare condition characterised by extreme calcific growths affecting the juxta and suprarenal aorta. It can cause symptoms due to visceral ischaemia, lower limb hypoperfusion, and distal embolisation. We present a case of a 61-year-old man with unresponsive hypertension, who was found to have an occluded right renal artery, and an extensive coral reef aorta with a marked pressure gradient across the lesion. Renal hypoperfusion secondary to aortic coral reef aorta was thought to be the cause for his hypertension. Endovascular placement of a balloon expandable uncovered stent resolved his hypertension within one month, with no adverse effects noted at subsequent follow-up. Endovascular treatment of coral reef aorta is technically possible and avoids a major vascular procedure.

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