A Patient with the LEAD-Complicated Mid-Aortic Syndrome with Bilateral External Iliac Artery Hypoplasia Underwent Bilateral Common Iliac-Common Femoral Artery Bypass Surgery
- VernacularTitle:両側外腸骨動脈低形成を伴うLEAD合併腹部大動脈狭窄症に対し両側総腸骨動脈-総大腿動脈バイパス術を施行した1例
- Author:
Daichi ITO
1
;
Jun OKADOME
1
;
Hiroyuki ITO
1
Author Information
- Keywords: mid-aortic syndrome; congenital; external iliac artery hypoplasia; LEAD; bypass surgery
- From:Japanese Journal of Cardiovascular Surgery 2024;53(5):299-303
- CountryJapan
- Language:Japanese
- Abstract: A 27-year-old woman developed circulatory failure 4 days after birth and was diagnosed with mid-aortic syndrome (MAS) 10 days after birth. Despite repeated endovascular treatments, restenosis recurred, and descending aorta-abdominal aorta bypass surgery was performed at the age of 6. Since the age of 14, bilateral external iliac artery occlusion has been observed, but no ischemic symptoms were observed in the lower extremities, and the patient was followed up. From around the age of 26, significant claudication appeared in both lower extremities, and it was determined that surgical intervention was required. Bilateral common iliac artery-common femoral artery bypass surgery was performed. The bilateral common iliac arteries were used as the central anastomosis, and the common femoral artery just above the bifurcation of the bilateral superficial and deep femoral arteries was used as the peripheral anastomosis. No ischemic symptoms in the lower extremities have been observed up to now (2 years after the operation). Bilateral common iliac artery-common femoral artery bypass surgery was performed for abdominal aortic stenosis with hypoplasia of the bilateral external iliac arteries and lower extremity artery disease (LEAD). Since we experienced the case with favorable results, we will add a review of the literature and report it.
