Seventeen-year follow-up after ascending-to-infrarenal aorta bypass for recurrent coarctation in an adult.
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.
Pereda
Daniel
D
Mayo Clinic, Division of Cardiovascular Surgery, Rochester, MN 55905, USA. pereda.daniel@mayo.edu
Cartañá
Ramón
R
Sundt
Thoralf M
TM
Mestres
Carlos-A
CA
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