Erstdiagnose eines kompletten Aortenbogenverschlusses bei einer 65-jährigen Hypertonikerin

Abstract

Patients with complete interruption of the aortic arch very rarely do reach late adult age without previous surgical intervention. Indeed, such a situation is only conceivable when there is a good collateral blood supply and no concomitant shunt defects. There is an indication for operation, but as there are insufficient follow-up data this should be weighed up carefully in elderly patients whose blood pressure is well controlled.

Interrupted aortic arch diagnosis by computed tomography angiography and 3-D reconstruction: A case report

“…Chest pain in our patient corresponded to aortic dissection and hemopericardium; associations of these serious complications have been reported in patients with bivalve aorta (>50 years; 17.4% [95% confidence interval 2.9%-53.6%]) with or without IAA [17] . Chest pain has also been reported in patients with IAA and hypertensive crisis [11] , [14] , a different type of IAA [18] , or acute coronary syndrome [19] .…”

“…With anomaly it is highly unusual for a patient to survive without surgical interventional, because there would be no path for the blood to leave the heart and enter the systemic circulation [3] . Nonetheless, this condition has been identified later in adult life in rare cases [5] , [10] , [11] , [12] , [13] , [14] . Patients with isolated IAA may survive until adulthood due to the development of significant collateral circulation ensuring the maintenance of a blood flow to the distal aorta [7] , [15] , [16] , as in our patient, who had important collateral circulation and had an associated bivalve aorta observed on the CTA.…”

Interventional treatment for acute cerebral infarction with large vessel occlusion combined with aortic arch interruption

“…Children receiving surgical treatment have a chance to survive for a long time. Without surgical treatment, children only survive to adulthood in the presence of extremely rich collateral circulation [2] . Of course, there are also individual patients who survive to adulthood without any treatment, but such patients are rare.…”

“…Without surgical treatment, children only survive to adulthood in the presence of extremely rich collateral circulation. [2] Of course, there are also individual patients who survive to adulthood without any treatment, but such patients are rare. The clinical manifestations of adult patients are different from those of young children, who can be completely asymptomatic and have intractable hypertension, headache, and complications of cerebral aneurysm rupture and hemorrhage.…”