Coarctation of the abdominal aorta with left renal artery and splenic artery aneurysms

DOĞAN R., Demircin M., Hamaloǧlu E., Balkanci F., Güngen Y., BOZER A. D.

Journal of Cardiovascular Surgery, cilt.37, sa.5, ss.457-461, 1996 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 5
  • Basım Tarihi: 1996
  • Dergi Adı: Journal of Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.457-461
  • Anahtar Kelimeler: aortic coarctation, hypertension, renal artery aneurysm, thoracoabdominal bypass, HYPERTENSION, HYPOPLASIA
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Both coarctation of the abdominal aorta, and splenic artery aneurysm reside in the hilus, a rare but extremely important pathological condition. Herein a 36-year-old woman hospitalized for uncontrolled hypertension is presented. Aortography demonstrated segmental abdominal aortic coarctation with left renal artery and splenic artery aneurysms. Medical control of hpertension was not possible and thoracoabdominal bypass with a prosthetic graft was undertaken. Left renal artery aneurysm was resected and aorto-renal saphenous vein bypass was performed. But splenic artery aneurysm was left in situ because it was asymptomatic and less than 2 cm in diameter. Postoperatively the patient was normotensive. Although the pathogenesis of such lesions remain unknown, it may be to congenital or related medial degeneration as demonstrated histologially.