Successful treatment of a patient with middle aortic syndrome and renovisceral involvement by aorto-aortic bypass - case report and review of recent literature.

Annals of vascular surgery

PubMedID: 24184465

Meyer A, Kuefner MA, Schmid A, Heinz M, Lang W. Successful treatment of a patient with middle aortic syndrome and renovisceral involvement by aorto-aortic bypass - case report and review of recent literature. Ann Vasc Surg. 2013;.
Middle Aortic Syndrome (MAS) - defined as localized abdominal or thoracic aortic hypoplasia - represents an extraordinary rare condition, often diagnosed in younger patients with severe renal hypertension. Etiology is divided into congenital and acquired causes (e.g. Takayasu's disease). Due to its extremely unfavourable course, treatment of symptomatic patients is mandatory, whereas open surgery with aorto-aortic bypass or patch aortoplasty is considered the standard therapy. We report the case of a 19 year old Macedonian female presenting with MAS and renal hypertension, who was successfully treated with aorto-aortic bypass including reconstruction of both renal as well as the hepatic and superior mesenteric arteries and review the current literature.