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Coarctation of the abdominal aorta
Acta Chirurgica Scandinavica. Supplementum
|January 1, 1980
Summary
Coarctation of the abdominal aorta can cause severe hypertension and claudication. Surgical repair with Dacron bypasses effectively resolved symptoms in three patients, offering a viable treatment for this rare condition.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Interventional Radiology
Background:
- Coarctation of the abdominal aorta is a rare condition.
- It can lead to severe hypertension and mesenteric ischemia.
- Associated renal and mesenteric artery stenoses present complex challenges.
Observation:
- Four patients with coarctation of the abdominal aorta and renal/mesenteric artery involvement were identified.
- Three patients presented with severe hypertension, and two with intermittent claudication.
- One patient, diagnosed in 1974, was deemed inoperable and remained symptomatic.
Findings:
- Three patients underwent surgical intervention using Dacron grafts.
- Bypass procedures included thoracic to abdominal aorta grafts, with some extending to renal, celiac, and mesenteric arteries.
- The patient receiving a thoracic to femoral artery prosthesis also showed positive outcomes.
- Post-operatively, three surgically treated patients became asymptomatic and normotensive.
Implications:
- Surgical reconstruction with Dacron prostheses is a successful treatment for coarctation of the abdominal aorta with visceral artery involvement.
- Early diagnosis and surgical intervention can significantly improve patient outcomes, resolving hypertension and claudication.
- This approach offers a life-altering solution for patients with complex aortic and visceral artery disease.