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- Runa Emoto, Shoichiro Yatsu, Takuma Yoshihara, Eiryu Sai, Tadashi Miyazaki, Taira Yamamoto, Atsushi Amano, Hiroyuki Daida, and Katsumi Miyauchi.
- Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan.
- Intern. Med. 2022 May 15; 61 (10): 1549-1553.
AbstractMid-aortic syndrome (MAS) is a rare vascular disorder that causes refractory hypertension. A 76-year-old woman was hospitalized for acute heart failure (HF) with drug-resistant hypertension; other comorbidities included epigastric artery rupture, old myocardial infarction, an intraventricular thrombus, and a cerebral artery aneurysm. Angiography revealed severe narrowing of the descending aorta, which led to the diagnosis of MAS. Although intensive medical treatment improved her HF, optimal blood pressure (BP) could not be achieved. Percutaneous coronary intervention and surgical bypass for diseased aorta was then performed in two stages, resulting in the achievement of optimal BP and alleviation of HF.
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