Figure-eight kinking of the aorta (pseudocoarctation) coexistent with coarctation.
An asymptomatic young man presented with a cardiac murmur and hypertension only in the right arm. Angiograms showed kinking of the aortic arch with a figure-eight appearance consistent with pseudocoarctation. Before the kinked segment, also demonstrated were a stenotic lesion in the aortic arch proximal to the left carotid artery and profound collateral circulations in the right thorax. These findings strongly suggested a rare combination of pseudocoarctation and true coarctation. His hypertension was corrected following surgery with a bypass graft between the ascending aorta and the abdominal aorta.
Tsai
L M
LM
Section of Cardiology, Chang Gung Medical College, Taiwan, Republic of China.
Fu
M
M
Chang
C H
CH
Hung
J S
JS
D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging*; D001027:Aortography; D006801:Humans; D008297:Male