title: Seventeen-year follow-up after ascending-to-infrarenal aorta bypass for recurrent coarctation in an adult.
abstract: Anatomic repair of complex aortic coarctation is associated with significant mortality and morbidity, including paraplegia. Extra-anatomic bypass strategies have been developed to reduce these complications and allow the correction of any concomitant conditions during the same operation. We present the case of a woman with uncontrolled hypertension and preductal coarctation of the aorta diagnosed at age 22 who underwent an unsuccessful attempt at primary repair, followed by extra-anatomic bypass from the ascending-to-infrarenal aorta. The patient has remained normotensive, with no additional complications related to the disease or the procedure, during a follow-up of 17 years.
authors.affiliation: Mayo Clinic, Division of Cardiovascular Surgery, Rochester, MN 55905, USA. pereda.daniel@mayo.edu
authors.forename: Daniel
authors.initials: D
authors.lastname: Pereda
authors.forename: Ramón
authors.initials: R
authors.lastname: Cartañá
authors.forename: Thoralf M
authors.initials: TM
authors.lastname: Sundt
authors.forename: Carlos-A
authors.initials: CA
authors.lastname: Mestres
mesh_terms: D001017:Aortic Coarctation / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome