- Author: Kyo Seon Lee, In Seok Jeong, Byung Hee Ahn, Sang Gi Oh
- Date: 2015/03/01
- Journal: Journal of Cardiac Surgeryp;30(3)
- PMID: 25557235
- PMCID:
- DOI: 10.1111/jocs.12505
Abstract
A 51-year-old male presented with blood-tinged sputum and a 40 mmHg difference in pressure between the upper and lower extremities. A computed tomographic angiogram (CTA) of the chest showed a calcified and tortuous focal aneurysmal descending thoracic aorta with features of a coarctation (Fig. 1). There was dilatation of the bronchial and internal mammary arteries. At the time of surgery, the aorta was severely narrowed with dense calcium deposits (Fig. 2 and 3). It was replaced with a #16 Hemashield graft (Maquet Cardiovascular, Wayne, NJ, USA) and the bronchial arteries were ligated.