A Case of Ascending-To-Descending Aorta Bypass Grafting for Coarctation of the Aorta Associated with Turner Syndrome
10.4326/jjcvs.38.226
- VernacularTitle:Turner 症候群に合併した成人大動脈縮窄症の1手術治験例
- Author:
Ryo Hirayama
;
Masamichi Nakajima
;
Toshiya Koyanagi
;
Ryusuke Suzuki
;
Toshiaki Watanabe
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(3):226-228
- CountryJapan
- Language:Japanese
-
Abstract:
A 22-year-old woman without any serious distincted symptoms was found to have hypertension on a health examination. On further examinations, involving echocardiography and chest enhanced CT, showed dilatation of the ascending aorta, aortic coarctation, well-developed intercostal arteries and other collateral arteries. She was only 137 cm tall and weighed 52 kg. Besides, she had not had menstruation for the past two years. Chromosomal studies revealed Turner syndrome. Left lateral thoracotomy was thought to have the risk of heavy bleeding from collateral arteries, therefore we chose ascending-to-descending aorta bypass grafting through median sternotomy. She had an uncomplicated postoperative course. Here we report about operation in a adult case of coarctation of the aorta and discuss the usefulness of extraanatomical bypass grafting.
