Korean J Thorac Cardiovasc Surg.
2003 Sep;36(9):691-694.
Coarctation of the Aorta Associated with Chronic Thoracic Aortic Aneurysm: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Chonbuk National University, Medical School, Chonju, Korea. tcskim@lycos.co.kr
Abstract
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A 49-year-old woman had thoracic back pain for several years. Chest CT scan and MRI angiography revealed descending thoracic aortic aneurysm with a maximum diameter of 69 mm. Thoracic aortography showed not only the aortic aneurysm, but also coarctation of descending thoracic aorta at the level of aortic hiatus of the diaphragm. Intercostal artery arising Adamkiewicz artery was found in descending thoracic aortic aneurysm just above the coarctation. The aneurysm with coarctation of the aorta was successfully repaired with prosthetic graft replacement under left atrio-femoral bypass.