title: [Surgical management of a congenital abdominal aortic coarctation, associated to renal and mesenteric arteries critical stenosis in a 12-years old young boy].
abstract: The clinical case of a 12-years old boy complaining of severe and refractory arterial hypertension is reported, in whom an angio-CT evaluation displayed the diagnosis of a congenital abdominal aortic coarctation, associated to a critical stenosis of both renal and superior mesenteric arteries. The patient underwent a complex revascularization procedure, consisting in the implantation of an aorto-aortic bypass graft, followed by both renals and superior mesenteric artery revascularization. The post-operative course was uneventful and blood pressure turned down immediately to normal values. A post-operative angio-CT control revealed the anatomic and functional integrity of the surgical revascularization procedure. The main features of pathology, clinical presentation, diagnosis and surgical management of this exceedingly rare condition are subjected to a discussion, based on an extensive review of the literature published on the topic.
authors.affiliation: Clínica Universitária de Cirurgia Vascular e Unidade de Nefrologia do Departamento de Pediatria do Hospital de Santa Maria, Lisboa. Portugal.
authors.forename: A
authors.initials: A
authors.lastname: Dinis Da Gama
authors.forename: Margarida
authors.initials: M
authors.lastname: Almeida
authors.forename: Luís M
authors.initials: LM
authors.lastname: Pedro
authors.forename: Ruy
authors.initials: R
authors.lastname: Fernandes E Fernandes
authors.forename: Luís
authors.initials: L
authors.lastname: Silvestre
mesh_terms: D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D002648:Child; D016638:Critical Illness; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D012078:Renal Artery Obstruction / Q000150:complications*