Limits...
Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report.

Alvarez JR, Lopez LR, Quiroga JS, Martinez Comendador JM, Martinez-de-Alegria A, Martinez Cereijo JM, Dominguez CD - J Cardiothorac Surg (2011)

Bottom Line: The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention.However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications.We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Universitary Hospital Santiago de Compostela (CHUS), SERGAS Travesia Choupana SN Santiago de Compostela, 15706 La Coruña, Spain.

ABSTRACT
The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

Show MeSH

Related in: MedlinePlus

Computerized tomography showing bilateral internal mammary artery dilatation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3094377&req=5

Figure 1: Computerized tomography showing bilateral internal mammary artery dilatation.

Mentions: A 69 year-old man was admitted to our hospital complaining of congestive heart failure. His medical history included long-standing hypertension. On admission the patient had a blood pressure of 180/70 mmHg with diminished femoral pulses. Electrocardiographic analysis showed left ventricular hypertrophy and left bundle branch block. Transthoracic echocardiography showed an 80 mm Hg peak gradient and 0,8 cm2 surface area in the aortic valve. The left ventricular ejection fraction was 35%. Coronary angiography revealed severe disease of the left anterior descending coronary artery, and the coarctation was confirmed by aortography. There was a severe coarctation just distal to the left subclavian artery. Computerized tomography angiography to determine the anatomy and severity of the coarctation, showed bilateral internal mammary artery dilatation (Figure 1).


Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report.

Alvarez JR, Lopez LR, Quiroga JS, Martinez Comendador JM, Martinez-de-Alegria A, Martinez Cereijo JM, Dominguez CD - J Cardiothorac Surg (2011)

Computerized tomography showing bilateral internal mammary artery dilatation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094377&req=5

Figure 1: Computerized tomography showing bilateral internal mammary artery dilatation.
Mentions: A 69 year-old man was admitted to our hospital complaining of congestive heart failure. His medical history included long-standing hypertension. On admission the patient had a blood pressure of 180/70 mmHg with diminished femoral pulses. Electrocardiographic analysis showed left ventricular hypertrophy and left bundle branch block. Transthoracic echocardiography showed an 80 mm Hg peak gradient and 0,8 cm2 surface area in the aortic valve. The left ventricular ejection fraction was 35%. Coronary angiography revealed severe disease of the left anterior descending coronary artery, and the coarctation was confirmed by aortography. There was a severe coarctation just distal to the left subclavian artery. Computerized tomography angiography to determine the anatomy and severity of the coarctation, showed bilateral internal mammary artery dilatation (Figure 1).

Bottom Line: The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention.However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications.We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Universitary Hospital Santiago de Compostela (CHUS), SERGAS Travesia Choupana SN Santiago de Compostela, 15706 La Coruña, Spain.

ABSTRACT
The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

Show MeSH
Related in: MedlinePlus