Axillo-Bifemoral Artery Bypass for Atypical Coarctation in an Elderly Patient with Hypertensive Heart Failure
10.4326/jjcvs.41.215
- VernacularTitle:心不全を契機に発見された高齢者異型大動脈縮窄症に対して axillo-bifemoral artery bypass 術を施行した1治験例
- Author:
Kazuto Maruta
;
Hiromasa Kawaura
;
Hiroyuki Iizuka
;
Masaomi Fukuzumi
;
Noboru Ishikawa
;
Tadashi Omoto
;
Takeo Tedoriya
- Publication Type:Journal Article
- Keywords:
atypical coarctation;
extra anatomical bypass;
axillo-bifemoral artery bypass;
hypertensive heart failure;
elderly patient
- From:Japanese Journal of Cardiovascular Surgery
2012;41(4):215-218
- CountryJapan
- Language:Japanese
-
Abstract:
A 81-year old woman had hypertensive heart failure. She had a history of intermittent claudication for 5 years. Her ankle brachial pressure index (ABI) was 0.53 on the right and 0.58 on the left side. Coarctation of the descending aorta with severe calcification was found by a whole body CT. After medical therapy for heart failure, axillo-bifemoral artery bypass using an 8 mm ringed expanded polytetrafluoroethylene (ePTFE) graft was performed. Postoperatively, ABI improved to 0.83 on the right and 0.87 on the left side. The patient is doing well without any signs of heart failure or intermittent claudication. Although it is a palliative operation, axillo-bifemoral artery bypass is an effective and less-invasive procedure and appropriate for elderly patients.
