title: [Interrupted aortic arch in a 42-year-old man].
abstract: Interrupted aortic arch is a rare congenital vascular malformation associated with a high mortality rate in infancy, and is therefore very unusual in adults. We report a case of interrupted aortic arch in a 42-year-old male hypertensive patient who was found to have a disruption of aorta continuity distal to the left subclavian artery with massive collateral circulation into the descending aorta by computed tomography angiography. The patient was discharged after the blood pressure was controlled by antihypertensive therapy. This case suggests the necessity of careful auscultation for young patients with hypertension. Once murmur in the chest and back is heard, computed tomography angiography should be performed at once to avoid missed diagnosis and misdiagnosis.
authors.affiliation: Cardiovascular Center, First Hospital of Jilin University, Changchun 130021, China. baoning007007@yahoo.cn
authors.forename: Ning
authors.initials: N
authors.lastname: Bao
authors.forename: Yu
authors.initials: Y
authors.lastname: Zhang
authors.forename: Zhiguo
authors.initials: Z
authors.lastname: Zhang
authors.forename: Huiru
authors.initials: H
authors.lastname: Cao
authors.forename: Wenhui
authors.initials: W
authors.lastname: Zhang
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000473:pathology*; D001018:Aortic Diseases / Q000150:complications; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008297:Male