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An infrarenal abdominal aortic coarctation.
Cengiz Koksal1, Selman Demirci, Guniz Meyanci Koksal
1Department of Cardiovascular Surgery, Sureyyapasa Thoracic and Cardiovascular Disease Hospital, Istanbul, Turkey. cengizkoksal@hotmail.com
Surgical and Radiologic Anatomy : SRA
|November 2, 2004
Summary
We present a rare case of abdominal aortic coarctation in a middle-aged woman with severe hypertension. Imaging revealed a narrowed aorta with serpentine-shaped renal arteries.
Area of Science:
- Vascular Surgery
- Cardiology
- Radiology
Background:
- Abdominal aortic coarctation is a rare condition causing severe hypertension.
- Infrarenal location is particularly uncommon.
Observation:
- A 44-year-old woman presented with severe, uncontrolled hypertension.
- Physical examination revealed normal distal pulses and no lower limb ischemia.
Findings:
- Electron beam tomography identified infrarenal abdominal aortic coarctation (9 mm diameter).
- The coarctation extended from the superior mesenteric artery to the inferior mesenteric artery.
- Aortic branches, including renal arteries, exhibited a serpentine morphology at the coarctation site.
Implications:
- This case highlights the importance of considering abdominal coarctation in hypertensive patients.
- Understanding the unique vascular morphology is crucial for surgical planning.
- Further research into the pathophysiology of serpentine aortic branches is warranted.