Atypical aortic coarctation with resistant hypertension treated with axilloiliac artery bypass

A 68-year-old woman was found to have atypical coarctation of the aorta, ac companied by systolic hyper tension of the upper extremities despite admini stration of five types of antihypertensive drugs. Since the systolic hypert ension was resistant to the conventional antihypertensive therapy, axilloil iac artery bypass grafting with a subcutaneous tunnel was performed to alle viate the pressure gradient. Systolic blood pressure was successfully reduc ed and hypertension was controlled after surgery.