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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2010 | Volume
: 11
| Issue : 1 | Page : 24 |
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Subclavian to aorta bypass for adult aortic coarctation
Barbaros Kinoglu1, Faruk Hokenek1, Murat Ugurlucan2, Levent Kaplan1
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 Publication | 16-Jun-2010 |
Correspondence Address:
Murat Ugurlucan
Bozkurt Caddesi, No: 110-112, Benli Apt., Daire: 6,80250 Kurtulus / Istanbul
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 21042461 
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 |
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 | |  |
| 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.  |
| 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. |
| 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. |
[Figure 1], [Figure 2]
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