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J.Jpn. Surg. Soc.. 90(1): 130-133, 1989


Case report

ATYPICAL COARCTATION OF THE THORACIC AORTA WITH FIBROMUSCULAR DISPLASIA
―REPORT OF A SUCCESSFUL SURGICAL REPAIR AND REVIEW OF THE LITERATURE

*) Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Japan
**) Department of Pediatrics, Saga Medical School, Saga, Japan
***) Department of Pathology, Saga Medical School, Saga, Japan

Hitoshi Ohteki*), Tsuyoshi Itoh*), Masafumi Natsuaki*), Junichi Sakurai*), Hakaru Tazaki**), Teruo Watanabe***), Takahiro Yamada***)

We report a case of 14-year-old woman of fibromuscular dysplasia (FMD) with involvement of the thoracic aorta. Our case is characterized by a segmental stenosis of the thoracic aorta with multiple systemic arterial branch lesions. A typical coarctation of the thoracic aorta was replaced with Dacron woven graft and the specimen of the lesion demonstrated medial fibroplasia.
There have been reported only 9 cases of FMD of the aorta so far and all were female except one case. This report is the first case report of FMD of the thoracic aorta.

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