title: [Right-sided intrathoracic bypass grafting for a coarctation of the aorta in an advanced aged woman].
abstract: A sixty-two years old woman with a successful bypass grafting for coarctation of the thoracic aorta (Co-A) is presented. She has been suffering from hypertension since her thirties. Preoperative cardiac catheterization demonstrated Co-A with a pressure gradient of 100 mmHg. Angiography revealed the hypoplastic aortic arch with marked calcification and well developed collateral circulation. Right-sided intrathoracic bypass grafting using a 16 mm woven Dacron graft was placed between the ascending and descending aorta via a right sixth intercostal space. The patient had a good postoperative course with reduced pressure gradient of 10 mmHg. We recommend this procedure to be a safe and simple technique that can avoid injury to the collateral circulation to our knowledge, this is the most aged patient who underwent a successful surgical treatment for the Co-A in Japan.
authors.affiliation: Second Department of Surgery, Kagoshima University School of Medicine, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Iguro
authors.forename: M
authors.initials: M
authors.lastname: Yamashita
authors.forename: R
authors.initials: R
authors.lastname: Murata
authors.forename: Y
authors.initials: Y
authors.lastname: Fukumoto
authors.forename: A
authors.initials: A
authors.lastname: Taira
mesh_terms: D001011:Aorta / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019616:Thoracic Surgical Procedures / Q000379:methods