Isolated interrupted aortic arch: unexpected diagnosis in a 63-year-old male.
A 63-year-old male with history of hypertension, dyspnea on exertion, and chronic chest pain was admitted for elective cardiac angiography. Arterial blood pressure was 160/90 mmHg in both arms. Femoral and popliteal pulses were extremely weak, and third (S3) and fourth (S4) heart sounds were audible. Aortography showed a mildly dilated aortic root with double brachiocephalic trunk and interruption of aortic arch at isthmus. Profuse and well-developed collaterals appeared at neck and thorax. The patient was recommended to take medical treatment for his hypertension and advanced heart failure. The aim of this paper, is to review the diagnostic and therapeutic options for treatment of the interrupted aortic arch.
Madani Heart Center, Tabriz Medical University, Tabriz, Iran.
Hassan
H
Javadzadegan
VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA.
Jahan
J
Porhomayon
Tuberculosis and Lung Disease Research Center, Tabriz Medical University, Tabriz, Iran.
Alireza
A
Sadighi
Cardiology Division, Tabriz Medical University, Tabriz, Iran.
Mehrdad
M
Yavarikia
Surgery and Pathology VA Western New York Healthcare System, Division of Cardiothoracic Anesthesia and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA.
Nader
N
Nader