文献类型：期刊文献

英文题名：Subclavian-to-descending aortic bypass for the treatment of severe late-stage aortic coarctation in a 62-year-old adult: a case report and literature review

作者：Wang, Bowen[1,2];Zhang, Zhan[1];Chen, Ke[2];Zhou, Xing[1];Gao, Fentang[1];Xie, Ping[1,2]

第一作者：Wang, Bowen

通信作者：Xie, P[1];Xie, P[2]

机构：[1]Gansu Prov Hosp, Dept Cardiol, Lanzhou, Gansu, Peoples R China;[2]Gansu Univ Tradit Chinese Med, Dept Integrated Chinese & Western Med, Lanzhou, Gansu, Peoples R China

第一机构：Gansu Prov Hosp, Dept Cardiol, Lanzhou, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Cardiol, Lanzhou, Gansu, Peoples R China;[2]corresponding author), Gansu Univ Tradit Chinese Med, Dept Integrated Chinese & Western Med, Lanzhou, Gansu, Peoples R China.|[10735ed249c6606940a33]甘肃中医药大学中西医结合学院;[10735]甘肃中医药大学;

年份：2025

卷号：12

外文期刊名：FRONTIERS IN CARDIOVASCULAR MEDICINE

收录：;Scopus(收录号：2-s2.0-105019586974);WOS:【SCI-EXPANDED(收录号:WOS:001599880200001)】；

基金：The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the Gansu Provincial Natural Science Foundation (No. 23JRRA1287), Gansu Provincial Hospital Excellent Doctoral Student Training Program (No. 22GSSYD-14), the Gansu Province Traditional Chinese Medicine Research Project (No. GZKZ-2021-7) and Gansu Province Joint Research Fund (No. 24JRRA886).

语种：英文

外文关键词：aortic coarctation; hypertension; vascular surgical procedures; collateral circulation; multidisciplinary care

摘要：Background: Aortic coarctation (CoA) is a congenital cardiovascular condition usually diagnosed in infancy or childhood. Cases in adults are rare and often go undetected because symptoms can be obscured by extensive collateral circulation. Case description: A 62-year-old male was admitted to Gansu Provincial Hospital in December 2024 with complaints of recurrent chest tightness, shortness of breath, blurred vision, and tinnitus persisting for over two months. Physical examination revealed significant blood pressure discrepancies between the upper and lower extremities (>50 mmHg). Imaging confirmed severe CoA with nearly complete interruption of the descending aorta, extensive collateral circulation, and complications, including hypertensive crisis with cerebral hemorrhage likely due to extreme hypertension, and bronchiectasis with active pulmonary infection. After multidisciplinary team evaluation, left subclavian artery-to-descending aorta bypass grafting was performed. Postoperatively, blood pressure normalized across all limbs, and the patient remained asymptomatic at the six-month follow-up, with patent graft flow. Conclusion: This case of severe CoA in a 62-year-old male highlights the importance of early recognition of atypical presentations in adult patients, the need for individualized surgical strategies, and the benefits of long-term follow-up to ensure successful management and optimal outcomes.