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Discontinuity of the arch beyond the origin of the left subclavian artery in an adult: Interruption or coarctation?


1 Department of Pathology, Division of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
2 Dr. PK Sen Department of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
3 Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom

Correspondence Address:
Dr. Pradeep Vaideeswar
Department of Pathology, Division of Cardiovascular and Thoracic, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_91_17

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Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 92-96

 

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Congenital aortic anomalies are uncommon causes of secondary hypertension and are seldom suspected in the adult age group. We present a case of aortic interruption unexpectedly diagnosed on autopsy in a 38-year-old male who presented with cardiovascular collapse. Apart from interruption, a finding unique to our case was aneurysmal dilation of the proximal descending aorta just before the obstruction with thrombosis. We also attempt to review the literature for interrupted aortic arch in adults and clarify the nomenclature of interruption versus coarctation.






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1 Department of Pathology, Division of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
2 Dr. PK Sen Department of Cardiovascular and Thoracic Surgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
3 Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom

Correspondence Address:
Dr. Pradeep Vaideeswar
Department of Pathology, Division of Cardiovascular and Thoracic, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai - 400 012, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_91_17

Rights and Permissions

Congenital aortic anomalies are uncommon causes of secondary hypertension and are seldom suspected in the adult age group. We present a case of aortic interruption unexpectedly diagnosed on autopsy in a 38-year-old male who presented with cardiovascular collapse. Apart from interruption, a finding unique to our case was aneurysmal dilation of the proximal descending aorta just before the obstruction with thrombosis. We also attempt to review the literature for interrupted aortic arch in adults and clarify the nomenclature of interruption versus coarctation.






[FULL TEXT] [PDF]*


        
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