title: [Ascending aorta-abdominal aorta bypass for a patient with renal hypertension induced by aortitis syndrome; report of a case].
abstract: A 58-year-old woman was admitted to our institute. Aortitis syndrome was diagnosed when she was 39 years old. She developed intractable hypertension several years prior, and a computed tomography (CT) scan showed severe calcified stenosis of the descending aorta. The ankle brachial pressure index of the right leg was 0.70 and that of the left leg was 0.63. Plasma renin activity was 4.8 ng/ml/h. Ascending aorta-abdominal aorta bypass grafting was scheduled. The operation was successfully performed under partial cardiopulmonary bypass to control arterial blood pressure. An implanted graft was 14 mm in diameter. The postoperative ankle brachial pressure index of the right leg was 1.07 and that of the left leg was 1.03. Postoperative plasma renin activity was 0.2 ng/ml/h, and three-dimensional CT revealed that the implanted graft was patent. Postoperatively, hypertension was well controlled without medication.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Murayama
authors.forename: A
authors.initials: A
authors.lastname: Saito
authors.forename: S
authors.initials: S
authors.lastname: Ito
authors.forename: T
authors.initials: T
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D001011:Aorta / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D013625:Takayasu Arteritis / Q000150:complications*