A Case of Ascending-To-Descending Aorta Bypass Grafting for Coarctation of the Aorta Associated with Turner Syndrome

iDepartment of Cardiovascular Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan, and Department of Cardiovascular Surgery, Kyoto First Red Cross Hospital*, Kyoto, Japanj

Ryo Hirayama Masamichi Nakajima* Toshiya Koyanagi
Ryusuke Suzuki Toshiaki Watanabe
A 22-year-old woman without any serious distincted symptoms was found to have hypertension on a health examination. On further examinations, involving echocardiography and chest enhanced CT, showed dilatation of the ascending aorta, aortic coarctation, well-developed intercostal arteries and other collateral arteries. She was only 137cm tall and weighed 52kg. Besides, she had not had menstruation for the past two years. Chromosomal studies revealed Turner syndrome. Left lateral thoracotomy was thought to have the risk of heavy bleeding from collateral arteries, therefore we chose ascending-to-descending aorta bypass grafting through median sternotomy. She had an uncomplicated postoperative course. Here we report about operation in a adult case of coarctation of the aorta and discuss the usefulness of extraanatomical bypass grafting.
  Jpn. J. Cardiovasc. Surg. 38:226-228i2009j