| A Case of Coarctation of Descending
Mid-Thoracic Aorta Caused by Fibromuscular Dysplasia |
(Department of Cardiovascular Surgery, National
Obihiro Hospital, Obihiro, Japan)
| Junichi Koizumi |
Yoichi Kikuchi |
Taku Sakurada |
| Katsuyuki Kusajima |
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A rare case of descending thoracic
aortic coarctation caused by fibromuscular dysplasia is reported.
A 74-year-old woman was referred to our institution because of
congestive heart failure, hypertension, acute renal failure and
pressure gradient between upper and lower extremities. Aortography
revealed 90% stenosis of the descending mid-thoracic aorta. Descending-descending
aortic bypass was performed under femoro-femoral partial cardiopulmonary
bypass. The post-operative course was uneventful and the pressure
gradient across the coarctation was disappeared. The patient
discharged on the 28th postoperative day without any problems.
The pathohistological findings revealed fibromuscular dysplasia
in the media and intima of the aortic wall.
Jpn. J. Cardiovasc. Surg. 30: 83-85（2001) |
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