Korean J Med.  2004 Mar;66(3):293-297.

Middle aortic syndrome diagnosed at 51 years of age

Affiliations
  • 1Department of Internal Medicine, National Medical Center, Seoul, Korea. coolygamdo@hanmail.net

Abstract

A 51-year old woman was admitted to our hospital because of Exertional dyspnea, Palpitation, Headache, upper-limb hypertension, and lower-limb claudication. A loud systolic bruit was audible along Lt. carotid artery. Upper limb hypertension was responsed to drug moderately (included ACEI, alpha, beta-blocker, Ca++-channel blocker), but claudication of lower limb was aggravated, also on exertion, Blood Pressure of upper-limb was elevated to 180 mmHg. So, chest CT and Aortogram was performed, we confirmed long segmental stenosis from thorasic Aorta to the renal a. bifurcation level. Finally, We performed after axillo-femoral bypass surgery. After surgery, upper limb hypertension and lower limb claudication was improved.

Keyword

Middle aortic syndrome; Takayasu's arteritis; Hypertension

MeSH Terms

Aorta
Blood Pressure
Carotid Arteries
Constriction, Pathologic
Dyspnea
Female
Headache
Humans
Hypertension
Lower Extremity
Middle Aged
Takayasu Arteritis
Tomography, X-Ray Computed
Upper Extremity
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