| Successful Treatment of Cluster-Like
Aneurysm Associated with Coarctation of the Aorta |
(Department of Cardiovascular Surgery, Jikei University
School of Medicine, Tokyo, Japan)
| Asatoshi Mizuno |
Hiromi Kurosawa |
Katsushi Koyanagi |
| Isao Aoki |
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A 19-year-old woman with thoracic
aortic aneurysm complicating coarctation of the aorta was treated
successfully. Aortography and 3D-CT showed the thoracic aortic
aneurysm resembling a cluster of grapes. Coarctation of the aorta
was seen between the aortic aneurysm and the descending aorta,
and there was a 40mmHg pressure gradient between the ascending
aorta and the descending aorta. At operation, the wall of the
cluster-shaped saccular aortic aneurysm was very thin. We could
see the blood flow through the wall, and we thought this patient
was at high risk of ruptured aneurysm. The aneurysm was excised
and replaced by a Hemashield tube graft, 16mm in diameter. The
left subclavian artery was also constructed using a Hemashield
tube graft, 8mm in diameter. Ruptured aneurysm in a patient with
aortic aneurysm complicated by coarctation of the aorta has a
high risk of death, so surgical intervention should be performed
as soon as possible.
Jpn. J. Cardiovasc. Surg. 30: 55-57 (2001) |
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