All issues > Volume 29(7); 1986

Case Report

J Korean Pediatr Soc. 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

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.

Keywords :Coarctation of the aorta.