Middle Aortic Syndrome in an Elderly Patient : Description of a Surgical Case

Abstract

The middle aortic syndrome is a rare form of presentation of aortic coarctation that represents 0.5-2% of this same entity. It usually presents in the pediatric or young adult population; therefore, the age of this patient is of interest. It mainly 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 with hypertension challenging to control along with intermittent claudication. This article comprises 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 had a stenosis of the infrarenal abdominal aorta and a simultaneous superficial femoral artery lesion and was treated in a hybrid approach with a balloon expandable stent and a suprapatellar femoral-popliteal bypass.