A case of atypical aortic coarctation with refractory congestive heart failure--treatment with axillo-iliac artery bypass.
Coarctation of the aorta is rare. We present a case of atypical coarctation due to aortitis syndrome with congestive heart failure refractory to conventional medical treatment. Although indications for surgical treatment are not well established and, in general, treatment of choice is an aorto-aortic bypass, we selected axillo-iliac bypass with subcutaneous tunnel because of severe heart failure. Postoperatively, the pressure gradient disappeared and heart failure was improved.
Division of Cardiology, Yame General Hospital, Japan.
K
K
Nakao
J
J
Shibata
S
S
Kikutake
T
T
Nagata
K
K
Uraguchi
Y
Y
Hidaka
T
T
Imaizumi
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001025:Aortitis / Q000150:complications / Q000000981:diagnostic imaging; D001027:Aortography; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D014057:Tomography, X-Ray Computed