Atypical aortic coarctation with resistant hypertension treated with axilloiliac artery bypass.
A 68-year-old woman was found to have atypical coarctation of the aorta, accompanied by systolic hypertension of the upper extremities despite administration of five types of antihypertensive drugs. Since the systolic hypertension was resistant to the conventional antihypertensive therapy, axilloiliac artery bypass grafting with a subcutaneous tunnel was performed to alleviate the pressure gradient. Systolic blood pressure was successfully reduced and hypertension was controlled after surgery.
Inagaki
H
H
First Department of Internal Medicine, Miyazaki Medical College, Kiyotake, Japan.
Kato
J
J
Yamashita
A
A
Uemura
T
T
Kitamura
K
K
Yano
Y
Y
Nakamura
K
K
Onitsuka
T
T
Eto
T
T
D000368:Aged; D001017:Aortic Coarctation / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001366:Axillary Artery / Q000601:surgery*; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007083:Iliac Artery / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures