Korean Circ J.  2007 Nov;37(11):590-593. 10.4070/kcj.2007.37.11.590.

Hypertensive Heart Failure with Severe Arteriosclerotic Stenosis of the Descending Aorta

• Kim JA
• Kim DB
• Jang SW
• Kwon BJ
• Cho EJ
• Song JH
• Lim CH
• Rho TH
• Kim JH
• Park CB
• Song KS

• KMID: 1909621
• DOI: http://doi.org/10.4070/kcj.2007.37.11.590

Abstract

We report a case of hypertensive heart failure with severe stenosis of the descending aorta. The patient had hypertension; however, he had not previously received any antihypertensive treatment. After receiving antihypertensive therapy for 2 weeks, he was admitted to our hospital for acute heart failure. Computed tomography (CT) and magnetic resonance imaging (MRI) showed severe arteriosclerotic stenosis of the descending aorta above the renal artery bifurcation. He underwent aortic resection and grafting. After surgery, his condition improved, and he was discharged.

Keyword

Aorta; Heart failure, congestive; Arteriosclerosis

MeSH Terms

Aorta
Aorta, Thoracic*
Arteriosclerosis
Constriction, Pathologic*
Heart Failure*
Heart*
Humans
Hypertension
Magnetic Resonance Imaging
Renal Artery
Transplants

Figure

• 

  Fig. 1 Chest X-ray on admission showing pulmonary edema and cardiomegaly (A). Captopril renal scan. After captopril injection, an increase in DTPA accumulation was noted (B). Aortic CT (C) and aortic MRI (D) showing arteriosclerosis with marked stenosis in the thoracoabdominal part of the aorta. DTPA: diethylene triamine pentaacetic acid, CT: computed tomography, MRI: magnetic resonance imaging.

• 

  Fig. 2 Gross finding of aorta. The lumen of the aorta is stenosed due to severe calcification. Arrow indicates the stenotic segment of the descending aorta (A). Follow-up CT 20 days after surgery showed no stenosis of the aorta (B). CT: computed tomography.

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