The aortic coarctation is located in the distal thoracic aorta or abdominal aorta, or both and is often called "middle aortic syndrome" or "mid-aortic dyspastic syndrome". Etiology is controversial and most cases are seen in young female women. Severe complication such as cardiac or renal dysfunction as well as cerebral hemorrhage may occur, so aggressive surgical intervention may take effect. Lately we experienced a middle aortic syndrome which was not typical because of the patient's advanced age at the time of clinical presentation. The Axillo-femoral artery bypass graft with 6 mm PTFE vascular graft was done.
Aorta, Abdominal ; Aorta, Thoracic ; Aortic Coarctation ; Arteries ; Cerebral Hemorrhage ; Female ; Humans ; Middle Aged* ; Polytetrafluoroethylene ; Transplants ; Vascular Diseases