Successful Surgical and Endovascular Multidisciplinary Therapy for Mid-aortic Syndrome with Complicated Atherosclerotic Comorbidities in an Older Patient |
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| Authors: | Runa Emoto Shoichiro Yatsu Takuma Yoshihara Eiryu Sai Tadashi Miyazaki Taira Yamamoto Atsushi Amano Hiroyuki Daida Katsumi Miyauchi |
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| Affiliation: | 1.Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan; 2.Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Japan; 3.Department of Cardiovascular Medicine, Juntendo University Shizuoka Hospital, Japan; 4.Department of Cardiovascular Surgery, Juntendo University Graduate School of Medicine, Japan; 5.Department of Cardiovascular Medicine, Juntendo University School of Medicine, Japan |
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| Abstract: | Mid-aortic syndrome (MAS) is a rare vascular disorder that causes refractory hypertension. A 76-year-old woman was hospitalized for acute heart failure (HF) with drug-resistant hypertension; other comorbidities included epigastric artery rupture, old myocardial infarction, an intraventricular thrombus, and a cerebral artery aneurysm. Angiography revealed severe narrowing of the descending aorta, which led to the diagnosis of MAS. Although intensive medical treatment improved her HF, optimal blood pressure (BP) could not be achieved. Percutaneous coronary intervention and surgical bypass for diseased aorta was then performed in two stages, resulting in the achievement of optimal BP and alleviation of HF. |
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| Keywords: | blood pressure heart failure mid-aortic syndrome revascularization |
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