ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Primary coarctation-related isthmus aneurysm in an adult [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(8): 697-699 | DOI: 10.5543/tkda.2016.26796

Primary coarctation-related isthmus aneurysm in an adult

Jose María González-santos1, María Elena Arnáiz-garcía1, María José Dalmau-sorlí1, Javier Rodríguez-collado2, Javier López Rodríguez1
1Department Of Cardiovascular Surgery, University Hospital Of Salamanca, Salamanca, Spain
2Department Of Cardiology, University Hospital Of Salamanca, Salamanca, Spain

A 56-year-old female patient was transferred due to the presence of a left supraclavicular pulsatile mass. Further work-up was performed to confirm diagnosis. Angiography and computed tomography were also performed. The anatomy of the thoracic aorta suggested an unknown and untreated aortic coarctation. A second aortic narrowing was identified at the aortic arch, a result of elongation of the aorta. Endovascular approach was not possible, due to complexity of the aortic anatomy, and tortuosity. Open surgical repair was successfully performed. A primary coarctation-related isthmus aneurysm is an exceptional finding in adults, and is a life-threatening condition when diagnosis is delayed. Management and treatment are controversial and challenging.

Keywords: Aneurysm, aortic coarctation, isthmic.

How to cite this article
Jose María González-santos, María Elena Arnáiz-garcía, María José Dalmau-sorlí, Javier Rodríguez-collado, Javier López Rodríguez. Primary coarctation-related isthmus aneurysm in an adult. Turk Kardiyol Dern Ars. 2016; 44(8): 697-699

Corresponding Author: María Elena Arnáiz-garcía, Spain
Manuscript Language: English


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