Severely Kinked Pseudocoarctation of the Aorta With Unicuspid Aortic Valve

Sakurai, Yosuke; Koide, Masaaki; Kunii, Yoshifumi; Tateishi, Minori; Okugi, Satoshi; Cao, Yuchen

doi:10.1016/j.athoracsur.2019.01.027

Cited by 4 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several investigators have used CT angiography and aortogram to identify and study morphology, focal deformity, elongation, kinking, stenosis, post-stenotic dilatation, associated dissection, calcification, and collateral arteries if any [ 38 , 39 ]. 3-D reconstructive images can identify the exact morphology, although the severity and functional significance of the stenosis can not be described.…”

Section: Discussionmentioning

confidence: 99%

Pseudocoarctation of the Arch and the Abdominal Aorta: A Review

Mahadevappa

Kulkarni²,

Attri³

et al. 2023

CCR

View full text Add to dashboard Cite

Pseudocoarctaion of the aorta is a rare congenital anomaly occurring in isolation or with other congenital heart diseases. The anatomical basis of the condition is linked to an elongated, redundant aorta which may affect the arch. The abdominal aorta rarely gives rise to kink and buckling without causing any significant functional stenosis. It should be carefully differentiated from the common true coarctation of the aorta. No clinical features are specific to pseudo coarctation and are often diagnosed incidentally. Although asymptomatic in the majority, few patients can have nonspecific symptoms and complications due to aneurysm formation, dissection, or rupture of the aorta. Hence Pseudocoarctaion should be closely followed for the onset of symptoms or possible complications. Without recommendations, no specific therapy is indicated in asymptomatic patients, although symptoms and complications warrant definitive treatment. As the natural history of the disease is unknown, the condition, when diagnosed, should be closely followed up for the occurrence of any complications. This article reports a pseudo aortic coarctation involving the arch and a brief literature review of this rare congenital anomaly.

show abstract

Section: Discussionmentioning

confidence: 99%

Pseudocoarctation of the Arch and the Abdominal Aorta: A Review

Mahadevappa

Kulkarni²,

Attri³

et al. 2023

CCR

View full text Add to dashboard Cite

show abstract

“…In the surgical management of PCoA, a sternotomy has been reported for combined procedures where intervention on the aortic valve was planned. 4,27,35,36 Yamane et al 27 used antegrade cerebral perfusion while Grigsby et al 35 used hypothermic circulatory arrest during an aortic arch repair and AVR. Sakurai et al 4 used hypothermic circulatory arrest for performing the frozen elephant trunk technique in the distal anastomosis.…”

Section: Discussionmentioning

confidence: 99%

“…4,27,35,36 Yamane et al 27 used antegrade cerebral perfusion while Grigsby et al 35 used hypothermic circulatory arrest during an aortic arch repair and AVR. Sakurai et al 4 used hypothermic circulatory arrest for performing the frozen elephant trunk technique in the distal anastomosis. Woolfson et al 36 used an extra-anatomic ascending to descending aortic bypass with concomitant aortic and mitral valve replacement in a case defined to have PCoA with an unusually high gradient.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The coincidence of PCoA with congenital anomalies such as unicuspid or bicuspid aortic valve, aortic valve stenosis, ventricular septal defects, patent ductus arteriosus, cervical aortic arch, and chromosomal abnormalities (18p−/18q+, Turner, Noonan, and Hurler) have been reported. 4-8 PCoA is usually asymptomatic and is incidentally detected during imaging or angiographic evaluations. It can present with chest pain or a pulsatile supraclavicular mass.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Pseudocoarctation of the Aorta With a Left Subclavian Artery Aneurysm, A Case Report and A Review of the Literature

Arıkan

Omay

Çakır

et al. 2021

Vasc Endovascular Surg

View full text Add to dashboard Cite

Here we present a 47-year-old male diagnosed with a pseudocoarctation of the aorta and a funnel-like subclavian artery aneurysm with a large orifice and severe aortic valve insufficiency. The patient underwent a two-stage repair for both pathologies. After an aortic valve replacement, postcardiotomy pericardial effusion occurred and was medically managed. Six months later, the patient underwent a distal arcus aorta and subclavian artery replacement with a left posterolateral thoracotomy as the second stage. Due to the strict adhesions, pulmonary veins were not cannulated and an extracorporeal bypass between the pulmonary artery and femoral artery was used for distal body perfusion. The coincidence of subclavian aneurysms and a pseudocoarctation of the aorta is rare and a literature review was performed to identify treatment options for this pathology.

show abstract