title: Long-term complications in two patients after aortoaortic bypass for midaortic syndrome.
abstract: The midaortic syndrome (MAS) refers to descending thoracic and abdominal aortic coarctation, which is rare and most common in the pediatric population. Open surgical repair, often with aortoaortic bypass, remains a highly effective treatment and is traditionally thought to be definitive despite concerns over patient growth postoperatively. This article presents 2 cases of MAS treated with aortoaortic bypass who developed long-term complications, one related to patient growth and the other to graft-enteric fistula. Consideration must be given to patient growth at operation for MAS, and long-term follow-up is necessary to identify other complications.
authors.affiliation: Division of Vascular Diseases and Surgery, Department of Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA. michael.go@osumc.edu
authors.forename: Michael R
authors.initials: MR
authors.lastname: Go
authors.forename: Siddharth
authors.initials: S
authors.lastname: Bhende
authors.forename: William L
authors.initials: WL
authors.lastname: Smead
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Vaccaro
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001012:Aorta, Abdominal / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012086:Reoperation / Q000379:methods; D013577:Syndrome; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D055815:Young Adult