Descending aorta–external iliac artery bypass for middle aortic syndrome

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• 作者：Yuki Okamoto (1)
  Kazuo Yamamoto (1)
  Tsutomu Sugimoto (1)
  Fuyuki Asami (1)
  Ayako Nagasawa (1)
  Satoru Shiraiwa (1)
  Norihito Nakamura (1)
  Shinpei Yoshii (1)
  
• 关键词：Middle aortic syndrome ; Hypertension ; Renal artery stenosis
• 刊名：Heart and Vessels
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：29
• 期：6
• 页码：864-866
• 全文大小：580 KB
• 参考文献：1. Delis KT, Gloviczki P (2005) Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther 17:187-03 CrossRef
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  11. Passman MA, Farber MA, Criado E, Marston WA, Burnham SJ, Keagy BA (1999) Descending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease? J Vasc Surg 29:249-58 CrossRef
  
• 作者单位：Yuki Okamoto (1)
  Kazuo Yamamoto (1)
  Tsutomu Sugimoto (1)
  Fuyuki Asami (1)
  Ayako Nagasawa (1)
  Satoru Shiraiwa (1)
  Norihito Nakamura (1)
  Shinpei Yoshii (1)
  
  1. Department of Cardiovascular Surgery, Tachikawa Medical Center, 3-2-11 Kanda-cho, Nagaoka, Niigata, 940-0052, Japan
  
• ISSN：1615-2573

文摘

We encountered a surgical case of middle aortic syndrome (MAS) in a 56-year-old man who had resistant hypertension. Computed tomography showed severe stenosis of the abdominal aorta from below the superior mesenteric artery to above the inferior mesenteric artery. Although bilateral renal artery stenosis was confirmed, renal function was within normal limits. A 10-mm vascular prosthetic graft was used to perform a descending aorta to left external iliac artery bypass. His hypertension was well controlled without medication. This extra-anatomic bypass may be a simple and useful approach for treating MAS if it is not necessary to reconstruct the renal artery or visceral artery.