文章基本信息

标题：Secondary Hypertension due to Isolated Interrupted Aortic Arch in a 60-Year-Old Person – One-Year Follow up
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作者：Mirat, Jure ; Galić, Edvard ; Ćorić, Vedran 等
期刊名称：Collegium Antropologicum
印刷版ISSN：0350-6134
出版年度：2010
卷号：34 supplement 1
期号：1
页码：307-309
出版社：Hrvatsko antropološko društvo
摘要：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.
关键词：interrupted aortic arch; aortic atresia; coarctation of the aorta; congenital heart disease in adults; secondary hypertension; hypertension