Acute occlusion of a simple aortic coarctation presenting as abdominal angina.
A 9-year-old boy whose past history was remarkable for a heart murmur was diagnosed with abdominal angina due to acute occlusion of a simple coarctation of the aorta. Using a single cross-clamp, we accomplished an end-to-end anastomosis after resection of the coarctation. Paradoxical hypertension and abdominal angina were treated successfully with a continuous intravenous infusion of lipo-PGE-1 and nicardipine. Three years after his operation, the patient's blood pressure was normal, with no stenosis at the site of the anastmosis.
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Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1 West 17, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.
Morikawa
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Fuse
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Abe
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D015746:Abdominal Pain / Q000209:etiology; D000787:Angina Pectoris / Q000209:etiology*; D001012:Aorta, Abdominal; D001017:Aortic Coarctation / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D006801:Humans; D008297:Male