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Ann Thorac Surg 2003;75:1961-1963
© 2003 The Society of Thoracic Surgeons


Case report

A rare case of aortic tube graft occlusion 35 years after coarctectomy

Naoto Ashizawa, MDa*, Hirofumi Tasaki, MDa, Riyako Shibata, MDa, Yuji Koide, MDa, Shinji Seto, MDa, Shiro Yamachika, MDb, Shiro Hazama, MDb, Kiyoyuki Eishi, MDb, Katsusuke Yano, MDa

a Departments of Cardiovascular MedicineNagasaki University, Nagasaki, Japan
b Cardiovascular Surgery, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

Accepted for publication November 26, 2002.

* Address reprint requests to Dr Ashizawa, Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki City, Nagasaki 852-8501, Japan
e-mail: mikan{at}net2.nagasaki-u.ac.jp

A 52-year-old male with a history of repair of aortic coarctation by prosthetic tube graft replacement 35-years ago developed anterior spinal artery syndrome caused by acute functional occlusion of the aorta at the repair site where pseudoaneurysm formation was observed. The patient was rescued by an emergency axillofemoral bypass, and residual hypertension in upper limbs was improved by elective ascending aorta-descending aorta bypass grafting.







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