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Middle aortic syndrome with renal involvement: A staged strategy to manage systemic hypertension
Author(s) -
Morgan Gareth,
Benson Lee,
Geary Denis
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23197
Subject(s) - medicine , cardiology , aorta , percutaneous , takayasu arteritis , renovascular hypertension , mesenteric ischemia , etiology , surgery , ischemia , kidney , vasculitis , disease
Long segment narrowing of the thoracoabdominal aorta or so‐called middle aortic syndrome (MAS), is an uncommon lesion presenting variably with physical signs of coarctation of the aorta, hypertension, renal insufficiency and or mesenteric ischemia. The etiologies are multiple, but Takayasu's arteritis is a leading cause. Variable involvement of diverse systemic arterial systems requires individualized management strategies. We report a case of a successful treatment algorithm for severe MAS using a strategy of percutaneous aortic endovascular stent implantation to rebuild the distal aorta and renal auto‐implantation to address systemic hypertension. © 2011 Wiley Periodicals, Inc.