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Rare Complex Coarctation of Aorta

Rare Complex Coarctation of Aorta Circulation: Cardiovascular Imaging CARDIOVASCULAR IMAGES Treated With Extra-Anatomic Aortic Bypass Approach 41-year-old male was admitted to our hospital because of chest distress Tao Zhang, MD and thoracodynia. On physical examination, there were significant differ - Chen Juan, MM A ences in blood pressure between the limbs: 175/97 mm Hg (right upper Wan Cheng Yu, MD limb), 123/100 mm Hg (left upper limb), 117/79 mm Hg (right lower limb), 107/77 Hai Zhou Zhang, MD mm Hg (left lower limb); transthoracic echocardiography showed no intracardiac Cheng Wei Zou, MD deformity; multidetector computed tomography demonstrated severe coarctation of the aorta (COA) between the left common carotid artery; and the left subclavian artery. The arteries of thoracic wall have dilated markedly. The minimum lumen area of coarctation is 1.4×1.3 mm (Figure  1). The procedure was performed un- der cardiopulmonary bypass. A 14-mm Dacron graft was used for an end-to-side anastomosis to thoracic descending aorta and the right side of the ascending aorta using a continuous 4 to 0 polypropylene suture (Figure 2). Immediately, the ankle- brachial pressure gradient has significantly reduced post-operation (preoperative 60 mm Hg versus postoperative 20 mm Hg). The patient was discharged symptom free 7 days post-operation. Post-operative multidetector computed tomography http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

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References (5)

Publisher
Wolters Kluwer Health
Copyright
© 2020 American Heart Association, Inc.
ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.119.010009
Publisher site
See Article on Publisher Site

Abstract

Circulation: Cardiovascular Imaging CARDIOVASCULAR IMAGES Treated With Extra-Anatomic Aortic Bypass Approach 41-year-old male was admitted to our hospital because of chest distress Tao Zhang, MD and thoracodynia. On physical examination, there were significant differ - Chen Juan, MM A ences in blood pressure between the limbs: 175/97 mm Hg (right upper Wan Cheng Yu, MD limb), 123/100 mm Hg (left upper limb), 117/79 mm Hg (right lower limb), 107/77 Hai Zhou Zhang, MD mm Hg (left lower limb); transthoracic echocardiography showed no intracardiac Cheng Wei Zou, MD deformity; multidetector computed tomography demonstrated severe coarctation of the aorta (COA) between the left common carotid artery; and the left subclavian artery. The arteries of thoracic wall have dilated markedly. The minimum lumen area of coarctation is 1.4×1.3 mm (Figure  1). The procedure was performed un- der cardiopulmonary bypass. A 14-mm Dacron graft was used for an end-to-side anastomosis to thoracic descending aorta and the right side of the ascending aorta using a continuous 4 to 0 polypropylene suture (Figure 2). Immediately, the ankle- brachial pressure gradient has significantly reduced post-operation (preoperative 60 mm Hg versus postoperative 20 mm Hg). The patient was discharged symptom free 7 days post-operation. Post-operative multidetector computed tomography

Journal

Circulation: Cardiovascular ImagingWolters Kluwer Health

Published: Feb 1, 2020

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