Ascending aorta to iliac artery bypass in coral reef aorta with multidrug resistant hypertension and worsening renal function
Abstract
Coral reef aorta is a rare condition characterized by heavily calcified atherosclerotic disease that involves the juxtarenal aorta, leading to potentially life-threatening complications (congestive heart failure, refractory hypertension, and visceral or limb ischemia). Here, we report the case of an elderly woman with resistant hypertension and worsening kidney function with a solitary right kidney, who underwent successful open surgical repair using the ascending aorta as an inflow source to a bypass graft to the renal, mesenteric and iliac arteries. This approach provides an effective and durable option for difficult coral reef aorta cases not amenable to other less invasive approaches.
Fields of Study & Subjects
Infectious Aortic and Vascular Conditions
Aortic aneurysm repair treatments
Aortic Disease and Treatment Approaches
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 2
- Pages
- 102131–102131
- Publication date
- 8 January 2026
- Language
- EN