Journal of the Korean Society of Hypertension  2013;19(1):39-43

doi:10.5646/jksh.2013.19.1.39

Middle Aortic Syndrome with Superior Mesenteric and Bilateral Renal Artery Involvement: Unusual Type of Aortic Coarctation.

Jongseon PARK 1

Affiliations

+expand

Keywords

Aortic coarctation; Abdominal aorta; Hypertension

Country

Republic of Korea

Language

English

Abstract

Middle aortic syndrome (MAS) is very uncommon vascular pathology characterized by a long segmental narrowing or obstruction of the abdominal and/or distal thoracic aorta, commonly involving with the visceral and renal arteries. This syndrome may be presented with various physical signs of coarctation of the aorta, including resistant hypertension, renal insufficiency and/or mesenteric ischemia. Here, we report a case of a 64-year-old man with severe hypertension. He was diagnosed with MAS associated with stenosis of visceral and renal vessels by use of computed tomography and magnetic resonance angiography.