Open AccessDiscontinuity of the arch beyond the origin of the left subclavian artery in an adult: Interruption or coarctation?
Author(s) -
Pradeep Vaideeswar,
Supreet P Marathe,
Saranya Singaravel,
Robert H. Anderson
Publication year - 2018
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_91_17
Subject(s) - medicine , aortic arch , left subclavian artery , coarctation of the aorta , cardiology , autopsy , aorta , thrombosis , surgery
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.