Kodama K, Murata H, Hiratsuka M, Kakitsubata S, Yoshida T, Onitsuka T, Koga Y
Department of Internal Medicine, Miyazaki Kohnan Hospital, Japan.
Jpn Heart J. 1991 Mar;32(2):273-9. doi: 10.1536/ihj.32.273.
A case of atypical coarctation of the suprarenal aorta with symptoms of acute hypertensive heart failure is reported. A 62-year-old man was admitted because of dyspnea associated with severe hypertension. Chest x ray demonstrated mild pulmonary congestion. Following antihypertensive management, symptoms of congestive heart failure improved. Abdominal computed tomography and digital subtraction angiography undertaken several days later demonstrated a narrowed segment of the suprarenal aorta. Control of hypertension was poor with currently available antihypertensives and a bilateral axillo-femoral bypass operation with artificial grafts was undertaken. Postoperative blood pressure was maintained at a normal level with a small dose of atenolol. The patient had an uneventful hospital course and remains well.
报告了一例肾上腺主动脉非典型缩窄并伴有急性高血压性心力衰竭症状的病例。一名62岁男性因与严重高血压相关的呼吸困难入院。胸部X线显示轻度肺充血。经过降压治疗，充血性心力衰竭症状有所改善。几天后进行的腹部计算机断层扫描和数字减影血管造影显示肾上腺主动脉有一段变窄。使用目前可用的抗高血压药物控制高血压效果不佳，遂进行了双侧腋-股人工血管搭桥手术。术后使用小剂量阿替洛尔将血压维持在正常水平。患者住院过程顺利，目前情况良好。
