Key result
Left subclavian artery to descending thoracic aorta bypass resulted in an uneventful postoperative course and improvement in hypertension in a young female with coarctation of the aorta.
Why the study?
Does left subclavian artery to descending thoracic aorta bypass improve hypertension in a young female with coarctation of the aorta?
Case Report (n=1)
Does left subclavian artery to descending thoracic aorta bypass improve hypertension in a young female with coarctation of the aorta?
Left subclavian artery to descending thoracic aorta bypass can be an effective treatment for coarctation of the aorta in patients presenting with hypertension.
Supports subclavian-descending bypass feasibility in coarctation; leaves open durability and comparative efficacy versus standard repair.
Coarctation of the aorta is a rare congenital abnormality, with an incidence of 6-8% of all congenital heart problems. It is usually diagnosed in childhood during routine clinical examination and adults mostly present with hypertension. Various investigations like transthoracic echocardiography, computed tomography, and magnetic resonance angiography can help with diagnosis. Prognosis depends on age at presentation and the severity of coarctation. Treatment options available are open and endovascular repair. Extra-anatomical bypass is the preferred option in cases with unfavorable anatomy. Long term follow up is required post repair due to risk of restenosis and aneurysm formation. Here is a case in which a young female presented with hypertension, was diagnosed with coarctation of the aorta, and was treated a left subclavian artery to descending thoracic aorta bypass. Her postoperative course was uneventful and she had improvement in hypertension.
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Abuji et al. (2022) conducted a case report in Coarctation of the aorta (n=1). Left subclavian artery to descending thoracic aorta bypass was evaluated on Improvement in hypertension and postoperative course. Left subclavian artery to descending thoracic aorta bypass resulted in an uneventful postoperative course and improvement in hypertension in a young female with coarctation of the aorta.
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