{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:56:48Z","timestamp":1780581408372,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,1]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Coral reef aorta (CRA) is a rare condition, characterised by rock-hard calcification of the juxta-renal and supra-renal aorta with luminal encroachment causing significant stenosis of the aorta and its branches. It usually presents as resistant hypertension, renal dysfunction, mesenteric ischaemia, limb claudication or embolic manifestations. Although surgical thrombo-endarterectomy along with bypass graft to the affected visceral arteries remains the cornerstone of treatment, it is associated with considerable mortality and morbidity, especially in patients with pre-existing comorbidities. Here we report an elderly female of resistant hypertension, who had successful endovascular aortic stenting using a non-graft self-expanding stent. Her blood pressure dramatically improved following endovascular management. In comparison to the conventional surgical approach, endovascular stenting can be an alternative, less invasive approach in selected CRA patients.<\/jats:p>","DOI":"10.1136\/bcr-2019-229179","type":"journal-article","created":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T06:45:55Z","timestamp":1557470755000},"page":"e229179","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Treatment of symptomatic coral reef aorta by a nitinol self-expanding stent"],"prefix":"10.1136","volume":"12","author":[{"given":"Rajesh","family":"Vijayvergiya","sequence":"first","affiliation":[{"name":"Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadaab","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kewal","family":"Kanabar","sequence":"additional","affiliation":[{"name":"Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunangshu","family":"Behera","sequence":"additional","affiliation":[{"name":"General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,9]]},"reference":[{"key":"2025082713203772000_12.5.e229179.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1278258"},{"key":"2025082713203772000_12.5.e229179.2","doi-asserted-by":"publisher","DOI":"10.1007\/s100169910091"},{"key":"2025082713203772000_12.5.e229179.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.11.006"},{"key":"2025082713203772000_12.5.e229179.4","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.jvscit.2017.02.008","article-title":"Covered endovascular repair of the paravisceral aorta","volume":"3","author":"Plimon","year":"2017","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025082713203772000_12.5.e229179.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.11.053"},{"key":"2025082713203772000_12.5.e229179.6","doi-asserted-by":"crossref","first-page":"70","DOI":"10.4236\/wjcs.2015.57012","article-title":"Visceral ischemia caused by extra-anatomical bypass for coral reef aorta","volume":"05","author":"Kawabori","year":"2015","journal-title":"World J Cardiovasc Surg"},{"key":"2025082713203772000_12.5.e229179.7","doi-asserted-by":"publisher","DOI":"10.1177\/1708538114559325"},{"key":"2025082713203772000_12.5.e229179.8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1278253"},{"key":"2025082713203772000_12.5.e229179.9","unstructured":"Haraguchi K , Shintani Y , Kawasaki T . Coral reef aorta successfully treated with self-expanding nitinol stent. Cath Lab Digest 2017;25."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:20:45Z","timestamp":1756326045000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,9]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2019-229179"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229179","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}