Obstructed Coarctation in a Right Aortic Arch in an Adult Female

Kaneda, Tomoya; Miyake, Seiji; Kudo, Tomoko; Ogawa, Tatsuhiko; Inoue, Teruyoshi; Matsumoto, Tomoko; Onoe, Masahiko; Nakamoto, Susumu; Kitayama, Hitoshi; Sakurai, Toshihiko

doi:10.1055/s-2003-45430

Cited by 8 publications

(3 citation statements)

References 4 publications

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“…These findings were seen in Case 1, which strongly suggested that adult type A IAA is the final stage of aortic coarctation degeneration. The IAA cases caused by severe CoA have also been reported in the literature[ 15 , 16 ]. The patients initially showed aorta narrowing.…”

Section: Discussionmentioning

confidence: 99%

Difference and similarity between type A interrupted aortic arch and aortic coarctation in adults: Two case reports

Ren¹,

Zhang²,

Li³

et al. 2022

WJCC

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BACKGROUND Aortic coarctation (CoA) is usually confused with interrupted aortic arch (IAA), especially adult type A interrupted aortic arch, due to their similar anatomical location. Although the main difference between them is whether arterial lumen exhibits continuity or not, the clinical manifestations are similar and connection exists between them. Adult type A IAA is considered as an extreme form of CoA, which is complete discontinuity of aortic function and lumen caused by degenerative arterial coarctation. This paper reports two cases (interrupted aortic arch and severe aortic coarctation) to analyze the difference and similarity between them. CASE SUMMARY The two cases of patients presented with hypertension for many years. Computed tomography angiography showed that the aortic arch and descending aorta were discontinuous or significantly narrowed with extensive collateral flow. The IAA patient refused surgical treatment and blood pressure could be controlled with drugs. While the CoA patient underwent stent implantation because of uncontrollable hypertension, the blood flow recovered smoothly and the blood pressures at both ends of the stenosis returned to normal after surgery. CONCLUSION Adult type A IAA and CoA have difference and similarity, and type A IAA is associated with CoA to a certain extent. The treatment method should be chosen based on the patient's clinical symptoms rather than the severity of the lesion.

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Section: Discussionmentioning

confidence: 99%

Difference and similarity between type A interrupted aortic arch and aortic coarctation in adults: Two case reports

Ren¹,

Zhang²,

Li³

et al. 2022

WJCC

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show abstract

“…Patients diagnosed with interruption of the aortic arch in adulthood might be displaying progression of undiagnosed coarctation of aorta. Three-dimensional computed tomography is useful to detect the obstructive lesion and to guide the surgical approach [12]. …”

Section: Discussionmentioning

confidence: 99%

Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male

Javadzadegan

Porhomayon

Sadighi

et al. 2011

Case Reports in Critical Care

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A 63-year-old male with history of hypertension, dyspnea on exertion, and chronic chest pain was admitted for elective cardiac angiography. Arterial blood pressure was 160/90 mmHg in both arms. Femoral and popliteal pulses were extremely weak, and third (S3) and fourth (S4) heart sounds were audible. Aortography showed a mildly dilated aortic root with double brachiocephalic trunk and interruption of aortic arch at isthmus. Profuse and well-developed collaterals appeared at neck and thorax. The patient was recommended to take medical treatment for his hypertension and advanced heart failure. The aim of this paper, is to review the diagnostic and therapeutic options for treatment of the interrupted aortic arch.

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“…Many cases may have a loss of luminal continuity between the ascending and descending aortic segments. Previous studies reported that the progression of the luminal stenosis may cause total occlusion of CoA [ 2 , 3 ]. CoA could be accompanied by patent ductus arteriosus (PDA), bicuspid aortic valve, and ventricular septal defect.…”

Section: Introductionmentioning

confidence: 99%

Thoracic Stent Graft Implantation for Aortic Coarctation with Patent Ductus Arteriosus via Retroperitoneal Iliac Approach in the Presence of Small Sized Femoral Artery

Korkmaz

Beton

Göksel

et al. 2016

Case Reports in Cardiology

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Endovascular stent graft implantation is a favorable method for complex aortic coarctation accompanied by patent ductus arteriosus. Herein, an 18-year-old woman with complex aortic coarctation and patent ductus arteriosus was successfully treated by endovascular thoracic stent graft via retroperitoneal approach. The reason for retroperitoneal iliac approach was small sized common femoral arteries which were not suitable for stent graft passage. This case is the first aortic coarctation plus patent ductus arteriosus case described in the literature which is treated by endovascular thoracic stent graft via retroperitoneal approach.

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Obstructed Coarctation in a Right Aortic Arch in an Adult Female

Cited by 8 publications

References 4 publications

Difference and similarity between type A interrupted aortic arch and aortic coarctation in adults: Two case reports

Difference and similarity between type A interrupted aortic arch and aortic coarctation in adults: Two case reports

Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male

Thoracic Stent Graft Implantation for Aortic Coarctation with Patent Ductus Arteriosus via Retroperitoneal Iliac Approach in the Presence of Small Sized Femoral Artery

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