[A case of simple coarctation].
We report a successful surgical repair of the simple coarctation of a 80-day-old girl by extended end-to-end aortic arch reconstruction. She was admitted to our hospital at the age of 4 days because of poor pulsation of femoral arteries. The systolic blood pressure gradient between the arm and the leg was 30 mmHg. Echocardiography on admission revealed a simple coarctation and patent foramen ovale, with the mildly impaired left ventricular contraction (left ventricular fractional shortening was 23%). Although aortography demonstrated an isolated interrupted segment at the aortic isthmus with collaterals (type A classification of Celoria-Patton), the tubular connection between the distal arch and the descending aorta, of which intralumen was obstructed with abundant ductal tissues, was found at operation. The obstruction of the lumen of aortic isthmus in our case, which was originally patent, might be caused by ductal closure and present as a simple coarctation.
Takiguchi
M
M
Department of Cardiovascular Surgery, Nagano Children's Hospital, Japan.
Harada
Y
Y
Takeuchi
T
T
Inoue
H
H
Satomi
G
G
Yasukochi
S
S
Shimizu
T
T
Mori
Y
Y
Ogiso
Y
Y
D001017:Aortic Coarctation / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant