title: Primary coarctation-related isthmus aneurysm in an adult.
abstract: A 56-year-old female patient was transferred due to the presence of a left supraclavicular pulsatile mass. Further work-up was performed to confirm diagnosis. Angiography and computed tomography were also performed. The anatomy of the thoracic aorta suggested an unknown and untreated aortic coarctation. A second aortic narrowing was identified at the aortic arch, a result of elongation of the aorta. Endovascular approach was not possible, due to complexity of the aortic anatomy, and tortuosity. Open surgical repair was successfully performed. A primary coarctation-related isthmus aneurysm is an exceptional finding in adults, and is a life-threatening condition when diagnosis is delayed. Management and treatment are controversial and challenging.
authors.forename: Jose María
authors.initials: JM
authors.lastname: González-Santos
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Salamanca, Salamanca, Spain. elearnaiz@hotmail.com.
authors.forename: María Elena
authors.initials: ME
authors.lastname: Arnáiz-García
authors.forename: María José
authors.initials: MJ
authors.lastname: Dalmau-Sorlí
authors.forename: Javier
authors.initials: J
authors.lastname: Rodríguez-Collado
authors.forename: Javier
authors.initials: J
authors.lastname: López Rodríguez
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed