Coarctation of the aorta with aortic and subclavian artery aneurysms

Abstract

Coarctation of the aorta discovered in adulthood is uncommon. The formation of aneurysms from the coarctation segment and in the low‐pressure area is even rarer. The surgical management of coarctations can be challenging due to calcifications and concomitant cardiovascular and lung disease. We present a case with coronary artery disease, bilateral bullae, left subclavian artery aneurysm, saccular aortic aneurysms originating proximal to the coarctation and from the coarctation itself, and a remnant of ductus arteriosus. The surgical management and possible histopathologic causes for aneurysm formation are discussed.

Coarctation of aorta combined with multiple aneurysms

“…In patients with coarctation of the aorta, the blood pressure of the lower extremities is relatively lower than the upper extremities. The patient had a pressure difference greater than 20 mmHg between the upper extremities, 1 indicating a combination of a left subclavian artery aneurysm. Coarctation of the aorta combined with subclavian artery aneurysm was found in about 2% of patients, 2 and the formation of aneurysmatic changes may due to the hemodynamic effect of the narrowing aorta.…”

“…In patients with coarctation of the aorta, the blood pressure of the lower extremities is relatively lower than the upper extremities. The patient had a pressure difference greater than 20 mmHg between the upper extremities, 1…”

Coarctation of Aorta Combined with Multiple Aneurysms

“…In patients with coarctation of aorta, the blood pressure of the lower extremities is relatively lower than the upper extremities. The patient had a pressure difference greater than 20 mm Hg between the upper extremities [1], indicating a combination of a left subclavian artery aneurysm. Coarctation of aorta combined with subclavian artery aneurysm was found in about 2% of patients [2], and the formation of aneurysmatic changes may due to the hemodynamic effect of the narrowing aorta.…”