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A case of atypical aortic coarctation with refractory congestive heart failure-treatment with axillo-iliac artery bypass |
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| Authors: | Kazuhisa Nakao Junichi Shibata Shuuhei Kikutake Tsuyoshi Nagata Kenichirou Uraguchi Yoshio Hidaka Tsutomu Imaeumi |
| Abstract: | Coarctation of the aorta is rare. We present a case of atypical coarctation due to aortitis syndrome with congestive heart failure refractory to conventional medical treatment. Although indications for surgical treatment are not well established and, in general, treatment of choice is an aorto-aortic bypass, we selected axillo-iliac bypass with subcutaneous tunnel because of severe heart failure. Postoperatively, the pressure gradient disappeared and heart failure was improved. |
| Keywords: | aortitis syndrome atypical aortic coarctation refractory congestive heart failure axillo-iliac bypass graft subcutaneous tunnel |