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Coarctation of the Aorta : Unusual Type.

Journal of the Korean Pediatric Society 1986;29(7):773-778.
Published online July 31, 1986.
Coarctation of the Aorta : Unusual Type.
Jung Bae Lee1, Dong Soo Kim1, Chuhl Joo Ryu1, Kwang Sin Cho1, Jun Hee Sul1, Sung Kyu Lee1, Dong Shik Chin1, Kyu Ok Choe2, Bum Koo Cho3
1Department of Pediatrics、College of Medicine, Yonsei University
2Department of Radiology, College of Medicine, Yonsei University
3Department of Thoracic Surgery, College of Medicine, Yonsei University
대동맥궁에 동반된 대동맥교약증 및 동맥류 1례
이정배1, 김동수1, 유철주1, 조광신1, 설준희1, 이승규1, 진동식1, 최규옥2, 조범구3
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실
3연세대학교 의과대학 흉부외과학교실
Abstract
We experienced a case of coarctation of the aorta with aneurysmal dilatation which was located in aortic arch, who was a 13 year old male.On physical examination on admission, pulses were weak in right radial artery and in both femoral artery. Blood pressure measured 100/70 mmHg in right arm, 100/70 mmHg in left arm, 130/110 mmHg in right leg and 130/110 mmHg in left leg. Systolic murmur was heard on left upper sternal border. Final preoperative diagnosis was coarctation of the aorta which was located in between the innominate artery and the left common carotid artery. A poststenotic aneurysmal dilation was seen and the proximal site of the innominate artery was narrowed. Bypass Graft between the ascending aorta and the descending aorta was done with a 12 mm and 18 mm Woven Dacron Graft. After operation, blood pressure measured 120/80 mmHg in right arm, 120/80 mmHg in left arm, 140/100 mmHg in right leg and 140/100 mmHg in left leg.
Key Words: Coarctation of the aorta.


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