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Coarctation with a Calcified Aneurysm of the Descending Thoracic Aorta Kyo Seon Lee, M.D., In Seok Jeong, M.D., Byung Hee Ahn, M.D., and Sang Gi Oh, M.D. Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju, South Korea doi: 10.1111/jocs.12505 (J Card Surg 2015;30:276–277) 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
Figure 1. Chest CTA.
Address for correspondence: Sang Gi Oh, M.D., Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, 42, Jebong-ro, Dong-gu, Gwangju, South Korea, 501-757. Fax: 82-62-227-1636; e-mail: [email protected]
J CARD SURG 2015;30:276–277
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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. The patient had an uncomplicated postoperative course.
Figure 2. Operative field.
Figure 3. Histologic exam : fibrinoid necrotic material replaced the media of vascular wall; foarny histiocytes, cholesterol cleft, and dystrophic calcification were also noted. (Hematoxylin and eosin (H&E) stain, a magnification of 100).
Copyright of Journal of Cardiac Surgery is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
276
IMAGES
IN
CARDIAC SURGERY _____________________________________________________
Coarctation with a Calcified Aneurysm of the Descending Thoracic Aorta Kyo Seon Lee, M.D., In Seok Jeong, M.D., Byung Hee Ahn, M.D., and Sang Gi Oh, M.D. Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju, South Korea doi: 10.1111/jocs.12505 (J Card Surg 2015;30:276–277) 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
Figure 1. Chest CTA.
Address for correspondence: Sang Gi Oh, M.D., Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, 42, Jebong-ro, Dong-gu, Gwangju, South Korea, 501-757. Fax: 82-62-227-1636; e-mail: [email protected]
J CARD SURG 2015;30:276–277
LEE ET AL. COARCTATION WITH A CALCIFIED ANEURYSM
277
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. The patient had an uncomplicated postoperative course.
Figure 2. Operative field.
Figure 3. Histologic exam : fibrinoid necrotic material replaced the media of vascular wall; foarny histiocytes, cholesterol cleft, and dystrophic calcification were also noted. (Hematoxylin and eosin (H&E) stain, a magnification of 100).
Copyright of Journal of Cardiac Surgery is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
