title: [Graft replacement for surgical repair of coarctation of the aorta in adults].
abstract: We report the graft replacement for surgical repair of coarctation of the aorta (CoA) in 2 men, aged 19 and 30 years old, respectively. In both patients, the pressure gradients were higher than 20 mmHg across the coarctaion by cathetherization, and higher than 30 mmHg between the upper and lower limbs. The graft replacement of the coarctated aorta was performed under cardiopulmonary bypass. Postoperatively, the pressure gradients between the upper and lower limbs dropped below 20 mmHg in both cases. Since about 50% of surgically untreated patients with this disease may be expected to die before 30 years of age, repair of CoA in adults should be performed as soon as possible.
authors.affiliation: Department of Cardiovascular Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Nakao
authors.forename: N
authors.initials: N
authors.lastname: Minato
authors.forename: H
authors.initials: H
authors.lastname: Mitsuoka
authors.forename: H
authors.initials: H
authors.lastname: Furuya
authors.forename: T
authors.initials: T
authors.lastname: Shintani
authors.forename: S
authors.initials: S
authors.lastname: Higashi
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002315:Cardiopulmonary Bypass; D006801:Humans; D008297:Male