The fate of a thoracoabdominal aortic bypass graft 10 years after surgery in a child with the middle aortic syndrome

Emrah Şişli

doi:10.5606/tgkdc.dergisi.2018.14384

Emrah Şişli¹, Halil Bozkaya², Mehmet Fatih Ayık¹, Yüksel Atay¹

¹Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey
²Department of Radiology, Ege University Faculty of Medicine, İzmir, Turkey

DOI : 10.5606/tgkdc.dergisi.2018.14384

A 13-year-old boy who underwent thoracoabdominal aortic bypass when he was three years old for middle aortic syndrome was admitted with fatigue and need for an increased dose of antihypertensive mediations. The graft was patent, but there were stenoses at the juxta-proximal and juxta-distal anastomosis sites. A partial benefit was gained with endovascular stenting. Although postponement of surgery, until the child reaches full growth is preferred, surgery remains the inevitable treatment of choice in patients with middle aortic syndrome. In contrary, it is important to use the graft as large as possible during the initial operation to avoid patient-graft mismatch in the future.

Keywords : Aortic diseases; hypertension; thoracoabdominal aortic bypass; vascular patency

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