Recurrent coarctation of the aorta: a patient with bilateral persistent sciatic arteries.
A 19-year-old female was referred to our department with a diagnosis of recurrent coarctation of the aorta. She had undergone end-to-side anastomosis of the left subclavian artery with the thoracic aorta at 9 days of age and extra-anatomic subclavian-to-femoral bypass grafting at 15 years of age because of hypertensive crisis. A preoperative 4-slice computed tomography (CT) scan demonstrated recurrent obstruction of the aorta and, unexpectedly, an associated anomaly of bilateral persistent sciatic arteries. She underwent a successful patch augmentation of the aorta and is currently leading a normal life without need for antihypertensive medication. Persistent sciatic artery is a rare congenital vascular anomaly and is known to develop aneurysm or critical lower limb ischemia. To our knowledge, this is the first report of a patient with coarctation of the aorta and bilateral persistent sciatic arteries.
Chikada
Masahide
M
Department of Cardiovascular Surgery, St. Marianna University, Kawasaki, Japan.
Makuuchi
Haruo
H
Kobayashi
Toshiya
T
Murakami
Hiroshi
H
Ono
Hirokuni
H
Nagata
Tokuichiro
T
D000714:Anastomosis, Surgical; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001158:Arteries / Q000002:abnormalities; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures; D055815:Young Adult