Sharma Arun, Kumar Rupesh, Bansal Vidur, Negi Sunder, Kumar Hemant
Radiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.
Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.
Cureus. 2024 Aug 14;16(8):e66843. doi: 10.7759/cureus.66843. eCollection 2024 Aug.
Coarctation of the aorta (CoA) is a rare congenital malformation, the symptoms of which may remain subtle in childhood and appear at a later age. It can manifest only with symptoms of upper body hypertension. Various methods have been described for managing coarctation of the aorta in adults, including surgical or percutaneous balloon angioplasty with or without stent placement and medical therapy. Surgical approaches include an extra-anatomical bypass through a left lateral thoracotomy, a median sternotomy, or a combined median sternotomy and a laparotomy incision; all have their merit in overcoming the symptoms. We went ahead with an extra-anatomical tube graft between the ascending aorta and the descending thoracic aorta in a 24-year-old patient who presented to us with a diagnosis of coarctation of the aorta.
主动脉缩窄（CoA）是一种罕见的先天性畸形，其症状在儿童期可能不明显，而在 later age 出现。它可能仅以上半身高血压症状表现出来。已经描述了多种治疗成人主动脉缩窄的方法，包括手术治疗或经皮球囊血管成形术，可选择放置或不放置支架以及药物治疗。手术方法包括通过左外侧开胸、正中胸骨切开术或联合正中胸骨切开术和剖腹切口进行解剖外旁路手术；所有这些方法在克服症状方面都有其优点。我们对一名24岁被诊断为主动脉缩窄的患者进行了升主动脉和降主动脉之间的解剖外管状移植术。
