Calcific stenotic jump graft.
A young lady with post-subclavian coarctation and cranial hypertension is discussed. She had a jump graft from left subclavian artery to descending aorta, and presented 18 years later with hypertension, calcification of the graft with a gradient of 40 mmHg across it. In the meantime, she also developed moderate aortic regurgitation on a bicuspid aortic valve. Management strategies including trans-catheter options are discussed. We present our reservations on trans-catheter options in an occluded dacron graft.
Padmakumar
R
R
Sree Chitra Thirunal Institute for Medical Sciences and Technology, Trivandrum, India. padmakumar69@yahoo.co.in
Krishnamoorthy
K M
KM
Tharakan
J A
JA
D000328:Adult; D001017:Aortic Coarctation / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology; D001807:Blood Vessel Prosthesis; D002114:Calcinosis / Q000209:etiology* / Q000601:surgery; D004106:Dilatation / Q000379:methods; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology*; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D012008:Recurrence; D012086:Reoperation; D013348:Subclavian Artery
D011093:Polyethylene Terephthalates