This Article Full Text (PDF) All Versions of this Article: 1538574408322756v1 43/1/96    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Matsuno, Y. Articles by Takiya, H. Search for Related Content PubMed PubMed Citation Articles by Matsuno, Y. Articles by Takiya, H. Social Bookmarking                         What's this?

A Successful Case of Ascending Aorta—Abdominal Aorta Bypass for Middle Aortic Syndrome

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan, 44870{at}gifu-hp.jp

Yoshio Mori, MD, PhD

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan

Yukio Umeda, MD, PhD

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan

Matsuhisa Imaizumi, MD, PhD

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan

Hiroshi Takiya, MD, PhD

Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan

The middle aortic syndrome (MAS) is a rare disease affecting children and young adults, and it occurs in about 0.5% to 2.0% of all aortic coarctation cases. Congenital, acquired, inflammatory, and infectious etiologies have been described. In the majority of cases, there is a short, isolated or diffuse tubular narrowing of the descending thoracic and abdominal aorta, often accompanied by ostial stenosis or occlusion of the renal and visceral branches, which leads to renovascular hypertension and visceral ischemia. Surgical treatment should be considered in cases of uncontrollable hypertension, evidence of end-organ damage such as cardiac failure, progressive renal insufficiency, or severe intermittent claudication. Several surgical treatments for this condition have been reported, including bypass grafting, graft replacement, or patch angioplasty. We report a successful case of ascending aorta—abdominal aorta bypass for MAS in a 11-year-old boy.

Key Words: middle aortic syndrome • hypertension • intermittent claudication • ascending aorta—abdominal aorta bypass

This version was published on February 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 1, 96-99 (2009)
DOI: 10.1177/1538574408322756


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?