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[Middle aortic coarctation: a rare vascular disorder]
K Soumer1, B Derbel1, S Benomrane1
1Service de chirurgie cardiovasculaire, faculté de médecine de Tunis, université de Tunis El Manar, hôpital La Rabta, 8, rue Ahmed El Mahdaoui, Borj Louzir, Ariana, Tunis 2073, Tunisie.
Journal Des Maladies Vasculaires
|January 30, 2015
Summary
Coarctation of the descending thoracic aorta, a rare condition, often presents with severe hypertension. Surgical bypass offers excellent recovery results for this aortic narrowing.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Pediatric Cardiology
Background:
- Coarctation of the descending thoracic aorta is an uncommon condition with debated causes.
- Severe hypertension is the typical symptom, though lower extremity claudication can occur.
- Surgical intervention is the established treatment for extensive aortic coarctation.
Observation:
- Three cases of descending aorta coarctation were surgically treated between January 2012 and December 2013.
- The median patient age was 19 years, with a median follow-up of 16 months.
- Hypertension was the predominant clinical presentation, diagnosed via computed tomography angiography.
Findings:
- Two patients underwent aorto-aortic bypass, and one received a subclavian-descending aorta bypass.
- Excellent recovery was observed, marked by a reduction in antihypertensive medications and restored distal pulses.
Implications:
- Middle aortic coarctation is a rare but serious condition requiring prompt management.
- Etiologies are diverse, including congenital, acquired, inflammatory, and infectious factors.
- Surgical bypass remains the gold standard for repairing mid-aortic syndrome, addressing life-threatening hypertension complications.
Keywords:
Aorte descendanteAortic coarctationAorto-aortic bypassCoarctation de l’aorteHypertensionHypertension artérielleMid-aortic syndromePontage aorto-aortiqueMore Related Videos
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