alexa Abstract | Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
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Case Report Open Access

Abstract

Aortic pseudocoarctation is a rare congenital anomaly characterized by elongation and deformity of the aortic arch and is known to be associated with aneurysmal formation. Several studies unite to say it leads to a surgical sanction as soon as symptomatic or associated with aneurysms of the aortic arch. Our patient is a 12 years old boy, followed since birth for a little tight pseudocoarctation with a cervical aortic arch and transverse aortic arch hypoplasia. Close clinical and Para clinical monitoring including angioscans, showed the gradual enlargement of the superior mediastinum, in relation with the appearance of three aneurysms of the aortic arch. The intervention, performed by sternotomy, has consisted of the resection of the aneurysmal area and the interposition of a Dacron tube to repair the aortic arch and the implantation of the left subclavian artery into the left carotid artery. The postoperative course was uneventful. Management of pseudocoarctation associated with cervical aortic arch and aneurysms remains surgical. Close monitoring of patients with pseudocorctation, seems to be essential to avoid fatal complications such as aneurysmal rupture.

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Author(s): Makani S, Julia M, Metton O, Pozzi M, Di Filippo S, Henaine R and Ninet J

Keywords

Pseudocoarctation, Cervical aortic arch, Aneurysm, Arch surgery, Abdominal Aortic Aneurysm, Arteries, Arteriosclerosis, Blood Clot Symptoms, Brain Aneurysm Symptoms, Carotid Artery, Femoral Artery, Heart Disease, Hypotension, Ischemic Heart Disease, Peripheral Vascular Disease, Stent, Vascular, Vascular Dementia, Pseudocoarctation, Cervical aortic arch, Aneurysm, Arch surgery

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