[A case of extra anatomical bypass grafting for coarctation of aorta associated with Turner's syndrome].
A 24-year-old woman with manifestations of Turner's syndrome was referred for detail examinations and treatment of right subclavian tumor on chest X-ray. She was short and obese (147 cm tall and weigh 65 kg). And she had hypertension at upper extremities (160/100 mmHg). Chest enhanced CT revealed right subclavian arterial aneurysm and coarctation of aorta. Aortography showed interrupted descending thoracic aorta with short atretic segment followed by distal descending aorta, aneurysmal collateral artery from right subclavian artery to abdominal aorta and other small collateral arteries. Left lateral thoracotomy was thought to have a high risk for bleeding in the short and obese patient with ample collateral arteries. Therefore, extra anatomical bypass grafting from ascending aorta to abdominal aorta was performed through median sternotomy and laparotomy. After operation recovery was uneventful without residual hypertension. In this report, we discuss about the operation of adult coarctation of aorta and usefulness of extraanatomical bypass grafting.
Kikuchi
C
C
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
Aomi
S
S
Takazawa
Y
Y
Yamaki
F
F
Hashimoto
A
A
Koyanagi
H
H
D000328:Adult; D000783:Aneurysm / Q000150:complications; D001017:Aortic Coarctation / Q000601:surgery*; D005260:Female; D006801:Humans; D008722:Methods; D013348:Subclavian Artery; D014424:Turner Syndrome / Q000150:complications*