case_images: PMC8522551_01
case_images: Computed tomography angiography preoperatively showing a coarctate descending aorta [(A), arrow] with more than eight collateral vessels between the proximal and distal coarctated tissue (B).
case_images: fped-09-654705-g0001.jpg
case_images: PMC8522551_01_fped-09-654705-g0001.jpg
case_images: F1
case_images: A cardiac CT scan was further performed, and a 3 mm coarctated descending aorta (Figure 1A, arrow), with over eight collateral vessels between the proximal and radial coarctated tissue (Figure 1B) was revealed.
case_images: Cerebral computed tomography angiography showing the ruptured anterior cerebral aneurysm (arrow).
case_images: fped-09-654705-g0002.jpg
case_images: PMC8522551_01_fped-09-654705-g0002.jpg
case_images: F2
case_images: An aneurysmal clip (Figure 2, arrow) was successfully applied, followed by balloon angioplasty and endovascular stent implantation in the coarctated site of the descending aorta (Figure 3).
case_images: Coarctation intervention with the guidance of digital subtraction angiography: (A) The coarctated descending aorta was confirmed by the poor perfusion of the iodine contrast medium to the distal segment; (B) inserted endovascular stent; (C) balloon dilatation and endovascular stent implantation in the constricted descending aorta; (D) a free flow of the perfused contrast medium to the distal segment just after the operation.
case_images: fped-09-654705-g0003.jpg
case_images: PMC8522551_01_fped-09-654705-g0003.jpg
case_images: F3
case_images: An aneurysmal clip (Figure 2, arrow) was successfully applied, followed by balloon angioplasty and endovascular stent implantation in the coarctated site of the descending aorta (Figure 3).
case_images: Computed tomography angiography postoperatively showing the coarctated descending aorta after endovascular stent dilatation.
case_images: fped-09-654705-g0004.jpg
case_images: PMC8522551_01_fped-09-654705-g0004.jpg
case_images: F4
case_images: The constricted segment of descending aorta was dilated up to 16 mm, which was detected by the chest CTA 3 days after the endovascular procedure (Figure 4).