PMID: 3753060Sep 1, 1986Paper

Middle aortic syndrome. Effectiveness and durability of complex arterial revascularization techniques

Annals of Surgery
L M MessinaR J Stoney

Abstract

Middle aortic syndrome typically occurs as severe hypertension in young patients who have weak or absent femoral pulses and an abdominal bruit. It results from a diffuse narrowing of the distal thoracic and abdominal aorta, commonly involving the visceral and renal arteries. The clinical presentation, angiographic assessment, and surgical outcome of 10 patients (mean age: 19.5 years) who underwent one-stage revascularization for middle aortic syndrome were reviewed to determine the effectiveness and durability of one-stage revascularization techniques to relieve these complications. All patients were hypertensive (mean blood pressure: 176 mmHg); six (60%) had severe, poorly controlled hypertension, two of whom had previous failed operations for renovascular hypertension and one who presented with malignant hypertension and acute renal failure. Five patients had disabling myocardial insufficiency, only one of whom had documented coronary artery disease. Four patients had intermittent claudication. Aortography showed variable length high-grade midaortic stenosis, nine had visceral artery involvement, and eight had renal artery involvement. All patients underwent one-stage revascularization by a variety of autogenous and prostheti...Continue Reading

Citations

Feb 14, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Colin J McMahonKevin P Walsh
Oct 9, 2002·Angiology·Akiko SekiHiroshi Kasanuki
Mar 6, 2008·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Christine B SethnaKevin E C Meyers
Apr 28, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·A IzraelitG Krishnamurthy
Nov 28, 2013·Heart and Vessels·Yuki OkamotoShinpei Yoshii
Jul 1, 2014·Postgraduate Medicine·K M Burgazli, Sabine H Daebritz
Feb 10, 2018·Journal of Surgical Case Reports·Akash ChitrakarUttam Krishna Shrestha
Dec 1, 1987·The British Journal of Surgery·F BacourtG Sellem
Jun 28, 2000·Angiology·R Adovasio, U Canci
Aug 5, 2000·Medical and Pediatric Oncology·L C LeeW Kelsall
May 14, 1998·The British Journal of Radiology·N A WatsonN Naqvi
Jul 16, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Albina TummoloKjell Tullus
Feb 14, 2014·Current Hypertension Reports·Kevin E MeyersChristine Sethna
Oct 11, 2017·Annals of Surgery·Heung Bae KimSteven J Fishman
Nov 9, 2019·World Journal for Pediatric & Congenital Heart Surgery·Mubeena AbdulkarimChawki El-Zein
Feb 1, 1991·The Australian and New Zealand Journal of Surgery·R S LordA R Graham
Sep 28, 2006·Pediatric Surgery International·Shawn D St Peter, Daniel J Ostlie
Dec 16, 2000·Cardiology in the Young·D J Radford, P G Pohlner
Jun 19, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Diego PorrasHeung B Kim
Jan 30, 2015·American Journal of Hypertension·Rawan K RummanRulan S Parekh
Nov 1, 2013·ANZ Journal of Surgery·Ajay SavlaniaUnnikrishnan Madathipat
Oct 21, 2011·Journal of Cardiac Surgery·Fatih AyikYüksel Atay
Oct 16, 2018·Journal of Clinical Ultrasound : JCU·Lei YanXiao-Yu Chen
Oct 28, 2008·Irish Journal of Medical Science·D M Fanning, D P Hickey
Apr 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·L M Kuestner, R J Stoney
Dec 1, 1991·Clinical Radiology·L RobinsonH M Saxton
Aug 20, 2021·Vascular and Endovascular Surgery·Taira YamamotoAtsushi Amano
Jun 19, 2008·Journal of Pediatric Surgery·Adam J KayeOmaida C Velazquez
Apr 1, 1989·Annals of Vascular Surgery·C PeillonJ Testart

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