Aortic pseudocoarctation in a patient with chronic aortic dissection.

Med Clin (Barc)

Área de Vigilancia Intensiva, IDIBAPS, Universitat de Barcelona. Servicio Medicina Interna, ICMID. Hospital Clínic Barcelona, Barcelona, España.

Published: December 2022


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http://dx.doi.org/10.1016/j.medcli.2022.08.001DOI Listing

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Article Synopsis
  • Aortic arch anomalies are varied conditions that can significantly affect patient health, and understanding their prevalence and effective diagnostic methods is essential for quality patient care.
  • A study was conducted in a hospital analyzing data from 2350 patients who underwent CT angiography, revealing 18 individuals diagnosed with various aortic arch anomalies like left aortic arch with aberrant right subclavian artery and aortic coarctation.
  • Although these anomalies are frequently asymptomatic, advanced CT techniques are the best diagnostic approach, capable of highlighting associated cardiac or vascular issues.
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Pseudocoarctation of the aorta (PCoA) is a rare congenital anomaly characterized by the abnormal kinking of the thoracic aorta. It is often incidentally diagnosed but gained clinical significance due to its propensity to develop aortic aneurysm and rupture. A standard diagnostic and treatment algorithm for PCoA is lacking, and also, the natural history of the disease is not well studied.

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Pseudocoarctation following elephant trunk intervention.

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Department of Cardiothoracic Surgery, Loyola University Medical Center, Maywood, IL.

We describe the case of a 55-year-old man with a pseudocoarctation of the descending aorta following a conventional elephant trunk technique. The patient underwent aortic arch replacement with the conventional elephant trunk technique. After the operation, he had developed an increasing creatinine level, hemolysis, and cyanosis of his toes.

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