PMID: 25743358Mar 7, 2015Paper

Adult congenital aortic coarctaion;report of a case

Kyobu geka. The Japanese journal of thoracic surgery
Masafumi KudoNoboru Nishiwaki

Abstract

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.

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