Ascending aorta-abdominal aorta bypass for atypical coarctation with intractable hypertension due to aortitis syndrome; report of a case

A 63-year-old woman was admitted to our hospital. Aortitis syndrome was diagnosed 12 years ago. She developed intractable hypertension and a computed tomography scan showed coarctation of descending aorta with severe calcificaiton. Her ankle brachial pressure index (ABI) was 0.74 on the right side a...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 67; no. 3; p. 239
Main Authors Shimada, Naohiro, Tanaka, Masashi, Katayama, Ikuo, Ito, Satoshi, Hashimoto, Kazunori, Ooshiro, Norikazu, Shirouzu, Miyo
Format Journal Article
LanguageJapanese
Published Japan 01.03.2014
Subjects
Aorta - surgery
Aorta, Abdominal - surgery
Aortic Coarctation - etiology
Aortic Coarctation - surgery
Blood Vessel Prosthesis
Female
Humans
Hypertension - etiology
Hypertension - physiopathology
Middle Aged
Takayasu Arteritis - complications
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Summary:A 63-year-old woman was admitted to our hospital. Aortitis syndrome was diagnosed 12 years ago. She developed intractable hypertension and a computed tomography scan showed coarctation of descending aorta with severe calcificaiton. Her ankle brachial pressure index (ABI) was 0.74 on the right side and was 0.70 on the left side. She underwent a bypass operation with 14 mm-diameter prosthetic graft from ascending aorta to the infrarenal abdominal aorta without using cardiopulmonary bypass. Postoperatively, ABI was 1.22 on the right side and was 1.21 on the left side, and hypertension was well controlled.
ISSN:0021-5252