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KMID : 0368120040340040420
Korean Circulation Journal
2004 Volume.34 No. 4 p.420 ~ p.424
A Successful Stenting of the Coarctation of the Distal Thoracic Aorta(Middle Aortic Syndrome) in an Adult
ÀÓÁöÇö/Lim JH
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Abstract
An isolated coarctation of the lower descending thoracic aorta in adults is a very rare vascular disorder. To the best of our knowledge, the treatment of a coarctation of the descending aorta (middle aortic syndrome) in an adult, using stenting, has never been reported in Korea. A 44 year-old male, suffering from claudication of the both legs for 25 years, was admitted to our hospital. An aortogram revealed a coarctation of the distal thoracic aorta at the T11 level, with a 60 mmHg peak systolic pressure gradient across the lesion. A balloon angioplasty, followed by an 18¡¿40 mm stent implantation, was performed successfully. The peak systolic pressure gradient decreased from 60 mmHg to 15 mmHg. The patient¡¯s symptom was relieved after stenting, with no significant adverse events observed during a three-month clinical follow-up.
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