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

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...

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Main Authors: Hassan Javadzadegan, Jahan Porhomayon, Alireza Sadighi, Mehrdad Yavarikia, Nader Nader
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2011/989621
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author Hassan Javadzadegan
Jahan Porhomayon
Alireza Sadighi
Mehrdad Yavarikia
Nader Nader
author_facet Hassan Javadzadegan
Jahan Porhomayon
Alireza Sadighi
Mehrdad Yavarikia
Nader Nader
author_sort Hassan Javadzadegan
collection DOAJ
description 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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issn 2090-6420
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publishDate 2011-01-01
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series Case Reports in Critical Care
spelling doaj-art-85f93a4327ba4a1292835c2da438e92c2025-02-03T06:07:59ZengWileyCase Reports in Critical Care2090-64202090-64392011-01-01201110.1155/2011/989621989621Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old MaleHassan Javadzadegan0Jahan Porhomayon1Alireza Sadighi2Mehrdad Yavarikia3Nader Nader4Madani Heart Center, Tabriz Medical University, Tabriz, IranVA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USATuberculosis and Lung Disease Research Center, Tabriz Medical University, Tabriz, IranCardiology Division, Tabriz Medical University, Tabriz, IranSurgery and Pathology VA Western New York Healthcare System, Division of Cardiothoracic Anesthesia and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USAA 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.http://dx.doi.org/10.1155/2011/989621
spellingShingle Hassan Javadzadegan
Jahan Porhomayon
Alireza Sadighi
Mehrdad Yavarikia
Nader Nader
Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
Case Reports in Critical Care
title Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
title_full Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
title_fullStr Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
title_full_unstemmed Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
title_short Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male
title_sort isolated interrupted aortic arch unexpected diagnosis in a 63 year old male
url http://dx.doi.org/10.1155/2011/989621
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AT alirezasadighi isolatedinterruptedaorticarchunexpecteddiagnosisina63yearoldmale
AT mehrdadyavarikia isolatedinterruptedaorticarchunexpecteddiagnosisina63yearoldmale
AT nadernader isolatedinterruptedaorticarchunexpecteddiagnosisina63yearoldmale