Repeat presentation for middle aortic syndrome 18  years after original repair

A 21-year-old woman with a history of congenital middle aortic syndrome presented with recurrent, refractory hypertension (141/94  mm Hg) and bilateral lower extremity claudication. At 3 years old, the patient had undergone a thoracoabdominal bypass graft with an 8-mm Dacron (DuPont, Wilmington, Del) conduit. A volume-rendered computed tomography study with contrast demonstrated the 8-mm thoracoabdominal bypass graft was pat ent, without evidence of stenosis of the bypass graft or of any visceral vessels (A/Cover).
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Vascular images Source Type: research