Division of Vascular Surgery, University of Rochester Medical Center, Rochester, NY, USA.
J Vasc Surg. 2011 Aug;54(2):511-4. doi: 10.1016/j.jvs.2010.12.021. Epub 2011 Mar 11.
This is a case report of a 23-year-old pregnant woman with uncontrolled hypertension, resulting in delivery of her baby at 28 weeks. Postpartum, she further developed claudication and postprandial abdominal discomfort and was diagnosed with coarctation of the midabdominal aorta. She underwent thoracoabdominal aortic repair from the descending thoracic to infrarenal aorta. A bifurcated graft was used to complete the aorto-common hepatic artery and aorto-superior mesenteric artery bypasses. A third graft limb was sewn to revascularize the left renal artery. At 1-year follow up, all symptoms had resolved. This is an interesting coarctation patient treated successfully with thoracoabdominal reconstruction.
这是一例 23 岁孕妇合并高血压的病例报告，导致其 28 周早产。产后，她进一步出现跛行和餐后腹部不适，被诊断为中腹部主动脉缩窄。她接受了胸降主动脉至肾下主动脉的胸腹主动脉修复术。采用分叉移植物完成肝总动脉和肠系膜上动脉的主动脉旁路转流。第三支移植物分支用于重建左肾动脉。1 年随访时，所有症状均已缓解。这是一例有趣的胸主动脉重建成功治疗的缩窄患者。
