title: Aortic interruption presenting with recurrent ischemic strokes in an adult.
abstract: Presentation of an interrupted aortic arch (IAA) in adulthood is extremely rare. Nonhemorrhagic stroke has not been reported previously in any adult with IAA. We, herein, describe a formerly asymptomatic 52-year-old male presenting with recurrent vertebrobasilar circulation ischemic strokes resulting from accelerated atherosclerotic arteriopathy secondary to IAA associated upper body hypertension. Surgical correction of IAA led to treatment of hypertension and cessation of ischemic attacks together with regression of collateral arterial networks as shown by computer tomography angiography.
authors.affiliation: Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors.forename: Atay
authors.initials: A
authors.lastname: Vural
authors.forename: Ethem M
authors.initials: EM
authors.lastname: Arsava
authors.forename: Burce
authors.initials: B
authors.lastname: Ozgen
authors.forename: Kader K
authors.initials: KK
authors.lastname: Oguz
authors.forename: Orhan
authors.initials: O
authors.lastname: Efe
authors.forename: Metin
authors.initials: M
authors.lastname: Demircin
authors.forename: Mehmet A
authors.initials: MA
authors.lastname: Topcuoglu
mesh_terms: D001017:Aortic Coarctation / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D002545:Brain Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D002533:Cerebral Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D020521:Stroke / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome