Middle Aortic Syndrome in An Advance Age Patient Description of a Surgical Case

Abstract

Middle Aortic Syndrome : is a rare form of presentation of aortic´s coarctation that represents 0.5-2% of this same entity. It usually occurs in the pediatric or young adult population, which is why the age of this patient is interesting for this case. It mostly affects women with an estimated ratio of 4:1. Renal involvement is the most prevalent and idiopathic etiology is the most frequent. This pathology presents clinically as difficult-to-control hypertension together with intermittent claudication. This article includes the case of an 81-year-old female patient with a history of hypertension, sedentary lifestyle, smoking, osteoporosis, cholecystectomy in 2010 and appendectomy in childhood. On this occasion, the patient presented a stenosis of the infrarenal abdominal aorta and a superficial femoral artery lesion simultaneously, for which she was approached in a hybrid manner with a straight balloon-expandable stent and a suprapatellar femoral-popliteal bypass.