Middle aortic syndrome diagnosed at 51 years of age.
- Author:
Do Kyun KIM
1
;
Young Jin KIM
;
Jeon Su RYU
;
Woo Seob EOM
;
Jae Hyun CHO
;
Yeon Tae JEONG
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. coolygamdo@hanmail.net
- Publication Type:Case Report
- Keywords:
Middle aortic syndrome;
Takayasu's arteritis;
Hypertension
- MeSH:
Aorta;
Blood Pressure;
Carotid Arteries;
Constriction, Pathologic;
Dyspnea;
Female;
Headache;
Humans;
Hypertension;
Lower Extremity;
Middle Aged;
Takayasu Arteritis;
Tomography, X-Ray Computed;
Upper Extremity
- From:Korean Journal of Medicine
2004;66(3):293-297
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 51-year old woman was admitted to our hospital because of Exertional dyspnea, Palpitation, Headache, upper-limb hypertension, and lower-limb claudication. A loud systolic bruit was audible along Lt. carotid artery. Upper limb hypertension was responsed to drug moderately (included ACEI, alpha, beta-blocker, Ca++-channel blocker), but claudication of lower limb was aggravated, also on exertion, Blood Pressure of upper-limb was elevated to 180 mmHg. So, chest CT and Aortogram was performed, we confirmed long segmental stenosis from thorasic Aorta to the renal a. bifurcation level. Finally, We performed after axillo-femoral bypass surgery. After surgery, upper limb hypertension and lower limb claudication was improved.
