Congenital coarctation of the distal thoracic aorta: clinical and pathological evaluation of a case successfully operated on.
We report on a case of thickenings of the distal thoracic aorta in a young woman with hypertension. There were no associated vascular lesions or any evidence of an inflammatory process. The intima combined with a normal media was assessed by histopathology. These findings would strongly indicate a congenital origin of the disease. Blood supply to the spinal cord was studied preoperatively by selective angiography of intercostal and lumbar arteries. A simple endarteriotomy and a Dacron patch enabled normalization of the blood pressure. The etiological problems in pulseless disease are discussed as well as means of therapy.
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JP
Becquemin
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Benhayem
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Menu
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R
Mechmeche
D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D001017:Aortic Coarctation / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans