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Thorac Cardiovasc Surg 1985; 33(2): 109-110
DOI: 10.1055/s-2007-1014099
Case Report

© Georg Thieme Verlag Stuttgart · New York

Congenital Coarctation of the Distal Thoracic Aorta: Clinical and Pathological Evaluation of a Case Successfully Operated on

J. P. Becquemin1 , N. Benhayem2 , P. Menu3 , R. Mechmeche4
  • 1Service of Peripheral Vascular Surgery,
  • 2Department of Pathology, and
  • 3Service of Cardiac Surgery, Henry Mondor Hospital, Creteil, France,
  • 4Service of Cardiovascular Diseases, Ernest Conseil Hospital, Tunis, Tunisia
Further Information

Publication History

1984

Publication Date:
19 March 2008 (online)

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Summary

We report on a case of thickenings of the distal thoracic aorta in a young woman with hypertension. There were no associated vascular lesions or any evidence of an inflammatory process. The intima combined with a normal media was assessed by histopathology. These findings would strongly indicate a congenital origin of the disease. Blood supply to the spinal cord was studied preoperatively by selective angiography of intercostal and lumbar arteries. A simple endarteriotomy and a Dacron patch enabled normalization of the blood pressure. The etiological problems in pulseless disease are discussed as well as means of therapy.

Key words

Congenital coarctation - Distal thoracic aorta