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. 1980 Apr;191(4):430–437. doi: 10.1097/00000658-198004000-00007

Coarctation of the abdominal aorta: current options in surgical management.

J W Hallett Jr, D C Brewster, R C Darling, P J O'Hara
PMCID: PMC1344563  PMID: 7369807

Abstract

Coarctation or hypoplasia of the abdominal aorta is a rare cause of life-threatening hypertension. In most cases the mechanism of hypertension is elevated blood renin levels secondary to associated renal artery stenosis. Medical control of the hypertension is often difficult, and thus patients usually require renal artery revascularization combined with aortic bypass or replacement early in life. Current surgical management should optimize the use of autogenous methods of renal artery reconstruction including saphenous vein aortorenal bypass, splenorenal arterial anastomosis, hepatorenal saphenous vein bypass, and renal autotransplantation. In selected patients the reconstruction can be staged by correction of the renal artery stenosis and postponement of definitive repair of the aortic coarctation until it becomes hemodynamically significant.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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