[Adult congenital aortic coarctaion;report of a case].
A 63-year-old man with a history of hypertension from 20-year-old complained of dyspnea on effort. He was diagnosed as an adult congenital aortic coarctaion by computed tomography (CT). The CT showed the many collaterals from the subclavian artery, the internal thoracic artery and the intercostal artery to the descending aorta. The coarctation was totally replaced with prosthetic graft through 3rd left thoracotomy under partial cardiopulmonary bypass. The operation was successful and the postoperative course was uneventful. To avoid postoperative paradoxical hypertension, total prosthetic replacement is preferable.
Department of Cardiovascular Surgery, Cardiovascular Center, Nara Hospital, Kinki University Faculty of Medicine, Ikoma, Japan.
Masafumi
M
Kudo
Kozo
K
Kaneda
Shinya
S
Yokoyama
Shigeo
S
Nagasaka
Tomofumi
T
Taki
Yuichi
Y
Yoshida
Akira
A
Marui
Noboru
N
Nishiwaki
D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006801:Humans; D006973:Hypertension / Q000150:complications; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome