雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Coarctation of the Abdominal Aorta Caused by Takayasu Arteritis Complicated with Critical Limb Ischemia: A case report Naoki Onoda 1 , Asa Nonami 1 , Fumiaki Kondo 1 , Toshikazu Yabe 2 , Yoshinori Doi 2 , Masahiko Ikebuchi 3 , Hiroyuki Irie 3 , Hideaki Enzan 4 1Department of Cardiology, Kochi Prefectural Hata Kenmin Hospital 2Department of Medicine & Geriatrics, Kochi Medical School 3Department of Cardiovascular Surgery, Chikamori Hospital 4Department of Diagnostic Pathology, Chikamori Hospital Keyword: 腹部大動脈縮窄症 , 高安動脈炎 , 重症下肢虚血 , coarctation of the abdominal aorta , Takayasu arteritis , critical limb ischemia pp.539-543
Published Date 2010/5/15
DOI https://doi.org/10.11477/mf.1404101486
  • Abstract
  • Look Inside
  • Reference

 A 41-year-old woman was admitted to our hospital for critical limb ischemia. She had suffered from eight months of intermittent claudication and the new occurrence of ischemic ulcer on the bilateral lower extremities. The ankle-brachial pressure index(ABI) on the right was 0.43 and on the left was 0.37, respectively. Preoperative arteriography demonstrated localized coarctation of the abdominal aorta right below the level of the renal arteries, and the patient underwent aorto-bilateral external iliac bypass of these arteries. However, five months after the operation, occlusion of the bypass graft was radiologically diagnosed. Bifurcated graft replacement of the infra-renal aorta to the bilateral common iliac arteries was, therefore, performed. The intermittent claudication subsided, and the bilateral ABI improved after the second operation. From the result of pathological examination of the resected aorta, the etiology of aortic coarctation in the present case was considered to be Takayasu arteritis. Coarctation of the abdominal aorta is a relatively rare disease, the incidence of which is reported between 0.5 and 2 % of all aortic coarctation. Also, the unusual manifestation of aortic coarctation, through critical limb ischemia justifies the report of our case.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有