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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2010  |  Volume : 11  |  Issue : 1  |  Page : 24 Table of Contents     

Subclavian to aorta bypass for adult aortic coarctation


1 Medical Park Hospital, Cardiovascular Surgery Clinic, Fatih, Istanbul, Turkey
2 Bozkurt Caddesi, No: 110-112, Benli Apt., Daire: 6,80250 Kurtulus / Istanbul, Turkey

Date of Web Publication16-Jun-2010

Correspondence Address:
Murat Ugurlucan
Bozkurt Caddesi, No: 110-112, Benli Apt., Daire: 6,80250 Kurtulus / Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


PMID: 21042461

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How to cite this article:
Kinoglu B, Hokenek F, Ugurlucan M, Kaplan L. Subclavian to aorta bypass for adult aortic coarctation. Heart Views 2010;11:24

How to cite this URL:
Kinoglu B, Hokenek F, Ugurlucan M, Kaplan L. Subclavian to aorta bypass for adult aortic coarctation. Heart Views [serial online] 2010 [cited 2019 Jun 26];11:24. Available from: http://www.heartviews.org/text.asp?2010/11/1/24/63624

The patient was a 42-year-old male who presented to the clinic with headache and back pain. Physical examination of the chest was completely normal. There was significant pulse volume difference between upper and lower exremities on both sides. There was 60mmHg systolic blood pressure gradient between upper and lower extremities. Aortic pathology was considered and multislice computerized tomography angiography of thoroaco­abdominal aorta was performed.

The diagnosis was aortic coarction [Figure 1]. The patient underwent surgical treatment with left subclavian artery to descending aorta bypass with an 18mm Dacron tube graft [Figure 2].

Aortic coarctation is a well known congenital cardiac disease which is generally treated during childhood. The patient refused angioplaty. There are various surgical techniques for the treatment of aortic coarctation and left subclavian artery to descending aorta extra-anatomical bypass procedure is among these reliable methods with successfull outcome [1],[2],[3].

 
   References Top

1.Yamashita K; Suzuki K; Terada H; Washiyama N; Ohkura K; Bashar AH. Surgical treatment for isolated coarctation of the aorta in an adult patient. Gen Thorac Cardiovasc Surg. 2008;56(7):340-343.  Back to cited text no. 1      
2.Grinda JM; Mace L; Dervanian P; Folliguet TA; Neveux JY. Bypass graft for complex forms of isthmic aortic coarctation in adults. Ann Thorac Surg. 1995;60(5):1299-302.  Back to cited text no. 2      
3.Elkerdany A; Hassouna A; Elsayegh T; Azab S; Bassiouni M (1999) Left subclavian-aortic bypass grafting in primary isolated adult coarctation. Cardiovasc Surg. 1999; 7(3):351-354.  Back to cited text no. 3      


    Figures

  [Figure 1], [Figure 2]



 

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