Luu Hubert Y, Pulcrano Marisa E, Hua Hong Ton
Department of Surgery, University of California San Francisco, San Francisco, Calif.
Department of Vascular Surgery, Kaiser Permanente San Francisco Medical Center, San Francisco, Calif.
J Vasc Surg Cases Innov Tech. 2020 Feb 12;6(1):38-40. doi: 10.1016/j.jvscit.2019.10.008. eCollection 2020 Mar.
Middle aortic syndrome (MAS), a coarctation of the lower thoracic and/or abdominal aorta, is typically diagnosed and treated in the pediatric population. We present a 48-year-old patient with a long-standing history of hypertension who was lost to follow-up owing to a lack of insurance coverage. After two myocardial infarcts owing to severe hypertension, a vascular workup including a computed tomography angiogram revealed a diagnosis of MAS. He underwent open vascular reconstruction with a thoracoabdominal Dacron bypass graft. He was discharged within 1 week with no hypertension or claudication. Adult patients diagnosed with MAS should undergo open or endovascular surgical repair with close follow-up.
中段主动脉综合征（MAS），即下胸部和/或腹主动脉缩窄，通常在儿科人群中得到诊断和治疗。我们报告一名48岁有长期高血压病史的患者，因缺乏保险覆盖而失访。在因严重高血压发生两次心肌梗死后，包括计算机断层血管造影在内的血管检查显示诊断为MAS。他接受了胸腹涤纶旁路移植的开放性血管重建手术。他在1周内出院，无高血压或跛行。诊断为MAS的成年患者应接受开放性或血管内手术修复并密切随访。
