title: Secondary hypertension due to isolated interrupted aortic arch in a 60-year-old person--one-year follow up.
abstract: Interrupted aortic arch (IAA) is a congenital defect characterized by loss of luminal continuity between the ascending and descending aorta1. It is a rare malformation with an estimated incidence of perinatally diagnosed cases of 3 per million live births3. The condition is considered extremely rare in adults. However, its true prevalence in this population is unknown. We have found 30 case reports of IAA in adults in literature, 5 of whom were older than 50 years. Four of them had type A IAA. Arterial hypertension is a typical co-morbidity. In this report we describe a 60-year-old male patient who had a type A asymptomatic IAA. Although we initially suspected the aortic coarctation, further invasive procedures revealed complete interruption of the aortic arch just distal to the origin of the left subclavian artery. The patient underwent surgical repair, followed by full recovery and near-normalization of blood pressure.
authors.affiliation: University J. J. Strossmayer, Osijek, School of Medicine Osijek, University Hospital Sveti Duh, Internal Medicine Clinic, Zagreb, Croatia.
authors.forename: Jure
authors.initials: J
authors.lastname: Mirat
authors.forename: Edvard
authors.initials: E
authors.lastname: Galić
authors.forename: Vedran
authors.initials: V
authors.lastname: Corić
authors.forename: Gordana
authors.initials: G
authors.lastname: Rajsman
authors.forename: Luka
authors.initials: L
authors.lastname: Vrbanić
authors.forename: Melanija
authors.initials: M
authors.lastname: Razov Radas
authors.forename: Zvonko
authors.initials: Z
authors.lastname: Milicević
authors.forename: Goran
authors.initials: G
authors.lastname: Kondza
authors.forename: Refmir
authors.initials: R
authors.lastname: Tadzić
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Vcev
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities*; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D008875:Middle Aged