{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:04:20Z","timestamp":1753887860433,"version":"3.41.2"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo Coarcta\u00e7\u00e3o da aorta abdominal \u00e9 uma causa rara de claudica\u00e7\u00e3o de membros inferiores e hipertens\u00e3o refrat\u00e1ria. O tratamento \u00e9 complexo e exige conhecimento de diversas t\u00e9cnicas de reconstru\u00e7\u00e3o vascular. Apresentamos um caso de coarcta\u00e7\u00e3o ao n\u00edvel das art\u00e9rias renais, seu tratamento e revis\u00e3o da literatura. Paciente feminina, 65 anos, com hipertens\u00e3o refrat\u00e1ria desde os 35 anos, utilizando cinco medica\u00e7\u00f5es anti-hipertensivas em dose m\u00e1xima. Press\u00e3o arterial m\u00e9dia de 260\/180mmHg e claudica\u00e7\u00e3o incapacitante (menos de 20 metros) bilateral. Angiotomografia computadorizada demonstrou coarcta\u00e7\u00e3o de aorta justarrenal de 4 mm de maior di\u00e2metro, calcifica\u00e7\u00e3o circunferencial no local da estenose e tortuosidade da aorta infrarrenal. Foi submetida a tratamento h\u00edbrido, com ponte il\u00edaco-birrenal e implante de stent Advanta V12 no local da estenose. A paciente evoluiu satisfatoriamente e, 60 dias depois da cirurgia, apresentava-se com uma press\u00e3o arterial de 140\/80mmHg, em uso de apenas duas medica\u00e7\u00f5es anti-hipertensivas e sem claudica\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/1677-5449.200175","type":"journal-article","created":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T16:29:17Z","timestamp":1642436957000},"source":"Crossref","is-referenced-by-count":1,"title":["Coarcta\u00e7\u00e3o de aorta abdominal justarrenal associada \u00e0 hipertens\u00e3o renovascular e claudica\u00e7\u00e3o incapacitante: tratamento utilizando ponte il\u00edaco-birrenal e t\u00e9cnica \u201cpaving and cracking\u201d"],"prefix":"10.1590","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7131-3766","authenticated-orcid":false,"given":"Mateus Picada","family":"Corr\u00eaa","sequence":"first","affiliation":[{"name":"Instituto Vascular de Passo Fundo,  Brasil; Universidade de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7141-2243","authenticated-orcid":false,"given":"Francisco Costa Beber","family":"Lemanski","sequence":"additional","affiliation":[{"name":"Universidade de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaber Nashat","family":"Saleh","sequence":"additional","affiliation":[{"name":"Instituto Vascular de Passo Fundo,  Brasil; Universidade de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Stevan","family":"Noel","sequence":"additional","affiliation":[{"name":"Instituto Vascular de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renan Camargo","family":"Puton","sequence":"additional","affiliation":[{"name":"Instituto Vascular de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio 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