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HYPERTENSIVE HEART FAILURE ASSOCIATED WITH MIDDLE AORTIC SYNDROME REVERSED DRAMATICALLY BY ENDOVASCULAR MANAGEMENT

  • Kim, Weon (Division of Cardiology, Department of Internal Medicine, Kyung Hee University Medical Center) ;
  • Park, Chung-Su (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Hee-Jong (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Kyung-Hwan (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • An, Hye-Mi (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Yeon-Hwa (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Lim, Chur-Hoan (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kang, Won-Yu (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Hwang, Sun-Ho (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Wan (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital)
  • 발행 : 2011.09.27

초록

A 42-year-old male patient presented with refractory hypertension and congestive heart failure. He had taken hydrochlorthiazide 50 mg, carvedilol 25 mg, diltiazem 180 mg, and losartan 100 mg per day. Aortogram revealed a severe luminal narrowing in the distal thoracic aorta with a peak systolic pressure gradient of 60 mmHg across the lesion. Endovascular management was performed with $22{\times}80mm$ self-expandable Nitinol-S stent after predilation with $10{\times}40mm$ balloon. After endovascular management, the patient's blood pressure, left ventricular ejection fraction (LVEF) and dilated LV dimension were remarkably improved.

키워드

참고문헌

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피인용 문헌

  1. Single-site laparoscopic colectomy for rectosigmoid cancer with middle aortic syndrome: report of a case vol.1, pp.None, 2011, https://doi.org/10.1186/s40792-015-0050-4
  2. Association of white blood cell counts with left ventricular mass index in hypertensive patients undergoing anti-hypertensive drug therapy vol.13, pp.4, 2011, https://doi.org/10.3892/etm.2017.4119