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Interrupted aortic arch: A case reportFinancial support and sponsorship Nil.
Interrupted aortic arch diagnosed in adult age is a rare entity, with only a few cases published in the literature. Most of them are classified as type A interrupted aortic arch and differential diagnosis is associated with severe chronic coarctation. We present a case of a 52-year-old woman accessed to the emergency department for chest and right upper limb pain that increased in the last days. She underwent a computed tomography angiogram showing interruption of the aortic arch, distal to left subclavian artery origin, large bilateral collateral vessels connecting subclavian arteries to descending aorta with multiple voluminous aneurysms, a bicuspid aortic valve, dilatated tubular segment of ascending thoracic aorta, and a suspected atrial septal defect. A nonsystematic literature review regarding these conditions has been performed.
KeywordsAneurysm - bicuspid aortic valve - coarctation of the aorta - computed tomography angiogram - interrupted aortic arch
Received: 24 June 2019
Accepted: 21 December 2019
19 July 2021 (online)
© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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- 1 Hanneman K, Newman B, Chan F. Congenital variants and anomalies of the aortic arch. Radiogr Rev Publ Radiol Soc N Am Inc 2017; 37: 32-51
- 2 Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J 1959; 58: 407-13
- 3 Landeras LA, Chung JH. Congenital thoracic aortic disease. Radiol Clin North Am 2019; 57: 113-25
- 4 Vriend JWJ, Lam J, Mulder BJM. Complete aortic arch obstruction: Interruption or aortic coarctation?. Int J Cardiovasc Imaging 2004; 20: 393-6
- 5 Kumanan T, Guruparan M, Gnanakanthan K, Ratnayake UK. Interrupted aortic arch in an adult. Ceylon Med J 2016; 61: 135-6
- 6 Report of the New England Regional Infant Cardiac Program. Pediatrics 1980; 65 (02) 377-461 DOI: 10.1542/peds.65.2.377.
- 7 Reardon MJ, Hallman GL, Cooley DA. Interrupted aortic arch: Brief review and summary of an eighteen-year experience. Tex Heart Inst J 1984; 11: 250-9
- 8 Cheitlin MD. Coarctation of the Aorta. Med Clin North Am 1977; 61: 655-73
- 9 Patel DM, Maldjian PD, Lovoulos C. Interrupted aortic arch with post-interruption aneurysm and bicuspid aortic valve in an adult: A case report and literature review. Radiol Case Rep 2015; 10: 5-8