Thoracoabdominal aortic replacement for abdominal aortic aneurysm with atypical coarctation of thoracoabdominal aorta following mitral valve plasty.
We successfully treated a case of a 65-year-old female with an abdominal aortic aneurysm coexisting with an atypical coarctation of thoracoabdominal aorta and celiac axis and superior mesenteric artery occlusion. A dilated inferior mesenteric artery was supplying the celiac artery and superior mesenteric artery regions. The patient also had mitral regurgitation. After a mitral valve plasty, we repaired the abdominal aortic aneurysm and the atypical coarctation of the thoracoabdominal aorta using partial extracorporeal circulation, segmental clamping, and a selective perfusion of both the bilateral renal artery and dilated inferior mesenteric artery. The patient had an uneventful hospital course and remains well.
Terada
Hitoshi
H
First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Kazui
Teruhisa
T
Yamashita
Katsushi
K
Washiyama
Naoki
N
Suzuki
Kazuchika
K
Suzuki
Takayasu
T
Suzuki
Masato
M
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000473:pathology / Q000601:surgery; D004452:Echocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D018810:Magnetic Resonance Angiography; D017538:Mesenteric Artery, Superior / Q000473:pathology / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed