| Axillo-Bifemoral
Artery Bypass for Atypical Coarctation |
(Department of Cardiovascular Surgery, Ishinkai
Yao General Hospital, Yao, Osaka, Japan and Department of Cardiology,
Higashi-Osaka City General Hospital, Higashi-Osaka, Osaka, Japan)
| Tatsuya Kiji |
Yoshiyuki Kijima |
Akimitsu Yamaguchi |
|
In 46-year-old man who had had general
fatigue due to hypertension for about 20 years, only hypertension
of the upper part of the body had been pointed out; the blood
pressure of the upper limbs was 190mmHg and that of the lower
limbs was 80mmHg. Computed tomography showed severe aortic stenosis
with advanced calcification from the proximal descending thoracic
aorta to the infra-renal abdominal aorta, the minimum caliber
of the aorta being only 5mm. Hypertension was not controlled
in spite of administration of 5 anti-hypertensive agents. Because
renal factors were not related to hypertension, we chose a minimally
invasive procedure: axillo-bifemoral artery bypass. After operation,
the difference of blood pressure between upper and lower limbs
reduced and symptoms disappeared. There are many case reports
of aorto-aortic bypass for atypical coarctation, but we think
that the less invasive axillo-bifemoral artery bypass is also
an alternative procedure.
@Jpn. J. Cardiovasc. Surg. 29: 94-97 (2000) |
|
