Atypical coarctation of the abdominal aorta as a cause of acute hypertensive heart failure.
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概要
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A case of atypical coarctation of the suprarenal aorta with symptoms of acute hypertensive heart failure is reported. A 62-year-old man was admitted because of dyspnea associated with severe hypertension. Chest x ray demonstrated mild pulmonary congestion. Following antihypertensive management, symptoms of congestive heart failure improved. Abdominal computed tomography and digital subtraction angiography undertaken several days later demonstrated a narrowed segment of the suprarenal aorta. Control of hypertension was poor with currently available antihypertensives and a bilateral axillo-femoral bypass operation with artificial grafts was undertaken. Postoperative blood pressure was maintained at a normal level with a small dose of atenolol. The patient had an uneventful hospital course and remains well.
- International Heart Journal刊行会の論文
著者
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Koga Yasunori
Second Department Of Surgery Miyazaki Medical College
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ONITSUKA Toshio
Second Department of Surgery, Miyazaki Medical College
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Kodama Kenji
Department Of Anesthesiology And Critical Care Medicine Faculty Of Medicine Kyushu University
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Onitsuka Toshio
Second Department Of Surgery Miyazaki Medical College
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Kakitsubata Sachiko
Department Of Radiology Miyazaki Kohnan Hospital
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Murata Hiroshi
Department Of Dermatology Research Center On Aging And Adaptation
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HIRATSUKA Masanobu
Department of Internal Medicine, Miyazaki Kohnan Hospital
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YOSHIDA Takasuke
Department of Internal Medicine, Miyazaki Kohnan Hospital
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KODAMA Kenji
Department of Internal Medicine, Miyazaki Kohnan Hospital
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