title: A New Extra-anatomical Bypass for Atypical Aortic Coarctation with Porcelain Aorta: Reno-iliac Arterial Bypass.
abstract: We report a case of atypical aortic coarctation with severe calcification of the proximal aorta treated by a new extra-anatomical bypass. This 58-year-old woman with coarctation of the infrarenal aorta had thick circular calcifications of the thoracic aorta and stenosis of the subclavian arteries. To control the progressive claudication, we performed a bypass with an externally supported PTFE graft 6mm in diameter between the right renal artery and the right common iliac artery. Postoperative ankle pressure rose to 84 mmHg (right) and 89 mmHg (left) from zero, and she could walk without pain. Renal function was preserved. Using the proximal anastomosis from the non-diseased aortic branch to avoid the calcified aorta, reno-iliac arterial bypass is a useful alternative for control of ischemic lower limbs.
authors.affiliation: Department of Surgery, Saiseikai Karatsu Hospital, Karatsu, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Fukuda
authors.forename: Ryota
authors.initials: R
authors.lastname: Fukunaga
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Okadome
keywords: atypical aortic coarctation; extra-anatomical bypass; porcelain aorta
references.citation: ANZ J Surg. 2005 Mar;75(3):110-7
references.pmid: 15777385
references.citation: J Cardiovasc Surg (Torino). 1997 Aug;38(4):415-7
references.pmid: 9267355
references.citation: Ann Vasc Surg. 2007 Jan;21(1):1-9
references.pmid: 17349328
references.citation: Ann Vasc Surg. 1997 Jan;11(1):85-9
references.pmid: 9061145
references.citation: Hypertens Res. 2000 May;23(3):247-9
references.pmid: 10821134
references.citation: J Vasc Surg. 2002 May;35(5):1016-9
references.pmid: 12021721
references.citation: J Am Coll Surg. 2002 Jun;194(6):774-81
references.pmid: 12081068
references.citation: Intern Med. 1998 Nov;37(11):934-9
references.pmid: 9868955
references.citation: Clin Cardiol. 1998 Jul;21(7):523-4
references.pmid: 9669063
references.citation: J Card Surg. 1993 Mar;8(2):102-7
references.pmid: 8461491
references.citation: Jpn J Thorac Cardiovasc Surg. 2006 Dec;54(12):535-8
references.pmid: 17236657