Int J Angiol 2023; 32(04): 303-307
DOI: 10.1055/s-0043-1763253
Case Report

Challenging Endovascular Treatment of Coral Reef Aorta and a Literature Review

1   Department of Vascular and Endovascular Surgery, Nicosia General Hospital (NGH), Nicosia, Cyprus
Konstantinos Kapoulas
1   Department of Vascular and Endovascular Surgery, Nicosia General Hospital (NGH), Nicosia, Cyprus
Christos Bekos
1   Department of Vascular and Endovascular Surgery, Nicosia General Hospital (NGH), Nicosia, Cyprus
› Author Affiliations


Coral reef aorta is a rare type of atherosclerotic disease that causes severe calcification in the abdominal aorta.

We present a case of coral reef aorta with hemodynamically significant symptomatic aortic stenosis causing intermittent claudication and bilateral cyanosis of the toes.

Despite the challenging anatomy for endovascular treatment, the patient underwent successful transfemoral endovascular stent-graft placement.

The endovascular intervention with stents is a viable alternative method and, in many cases, constitutes the first choice for the treatment of coral reef aorta.

Publication History

Article published online:
01 March 2023

© 2023. International College of Angiology. This article is published by Thieme.

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