A Case of Ascending Aorta-Abdominal Aorta Bypass with Reconstruction of the Visceral Arteries for Atypical Coarctation
10.4326/jjcvs.42.186
- VernacularTitle:異型大動脈縮窄症に対する腹部分枝動脈再建を要した上行大動脈-腹部大動脈バイパス術の1例
- Author:
Hideyuki Harada
;
Masao Suzuki
- Publication Type:Journal Article
- Keywords:
atypical coarctation;
reconstruction of the visceral arteries;
ascending aorta-abdominal aorta bypass;
Takayasu arteritis
- From:Japanese Journal of Cardiovascular Surgery
2013;42(3):186-189
- CountryJapan
- Language:Japanese
-
Abstract:
A 51-year-old man was referred to us because of upper extremity hypertension and vascular claudication of the lower extremities. He underwent extraanatomic ascending aorta-abdominal aorta bypass with vascular graft under a median sternotomy and a midline laparotomy incision without cardiopulmonary bypass. The postoperative course was uneventful. Upper extremity hypertension and vascular claudication were completely resolved. Although the patient has done well in the three years since his operation, we continue to observe him closely. The etiology of atypical coarctation may be related to Takayasu arteritis because of the angiographic findings and positive specific alleles such as HLA-B5201 and DRB1 1502.
