A Case of Ascending Aorta-Abdominal Aorta Bypass with Reconstruction of the Visceral Arteries for Atypical Coarctation

Abstract

A 51-year-old man was referred to us because of upper extremity hypertension and vascular claudication of the lower extremities. He underwent extraanatomic ascending aorta-abdominal aorta bypass with vascular graft under a median sternotomy and a midline laparotomy incision without cardiopulmonary bypass. The postoperative course was uneventful. Upper extremity hypertension and vascular claudication were completely resolved. Although the patient has done well in the three years since his operation, we continue to observe him closely. The etiology of atypical coarctation may be related to Takayasu arteritis because of the angiographic findings and positive specific alleles such as HLA-B5201 and DRB1 1502. Jpn. J. Cardiovasc. Surg. 42 : 186-189(2013) Keywords：atypical coarctation, reconstruction of the visceral arteries, ascending aortaabdominal aorta bypass, Takayasu