Abstract
We report a case of infradiaphragmatic abdominal aorta – infrarenal abdominal aorta bypass for mid-aortic syndrome, which is considered to be a rare disease with poor prognosis. A 29-year-old man with juvenile hypertension was found to have a stenosis of the abdominal aorta and the right renal artery by means of a CT scan. For the treatment of renovascular hypertension refractory to medication, we performed descending aorta-abdominal aorta bypass surgery and revascularization of the right renal artery. The blood pressure in the upper extremities decreased into the normal range and the ankle-brachial pressure index improved postoperatively. He was discharged on the 13th postoperative day.
