title: Ascending aorta-abdominal aorta bypass with the reconstruction of superior mesenteric and bilateral renal arteries for mid-aortic syndrome.
abstract: We report the surgical repair of a case of mid-aortic syndrome (MAS) in a 17-year-old female patient. She was initially diagnosed with renovascular hypertension at the age of 12 years. Aortitis syndrome was suspected, and she has been treated with antihypertensive drugs since then. Angiography revealed severe stenosis of the abdominal aorta and left renal artery and occlusion of the right renal artery and superior mesenteric artery (SMA); this confirmed the diagnosis of MAS. Due to progressive, uncontrollable hypertension, we performed an ascending aorta-abdominal aorta bypass with revascularization of SMA and both renal arteries. Her blood pressure normalized following the operation.
authors.affiliation: Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, 1756 Kawasaki, Tsuyama, Okayama 708-0841, Japan. vivaldi@fa2.so-net.ne.jp
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Kotaro
authors.initials: K
authors.lastname: Suehiro
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kubo
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000601:surgery; D017538:Mesenteric Artery, Superior / Q000601:surgery*; D012077:Renal Artery / Q000601:surgery*; D013577:Syndrome