Endovascular repair of recurrent aortic coarctation with a custom made hourglass shaped stent graft

A 76-year-old male patient with previous open repair resection and end-to-end anastomosis in young adulthood of a congenital coarctation of the descending thoracic aorta was referred to our center for a symptomatic recurrence (A). The patient reported dyspnea and lower extremity fatigue, whereas clinical examination showed weak femoral pulses and a 50 mm Hg gradient between brachial and ankle systolic blood pressure measurements. Medical history...