Pseudocoarctation

Adaletli, İbrahim; Kuruğoğlu, Sebuh; Davutoğlu, Vedat; Özer, Harun; Beşirli, Kazım; Sayin, Ayla Gürel

doi:10.1016/s0828-282x(07)70232-5

Cited by 16 publications

(16 citation statements)

References 3 publications

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“…It differs from true coarctation since there is no evidence of left ventricular hypertrophy or ascending aortic aneurysm, absence of collateral vessels, and no pressure gradient across the kinked arch. Moreover, both CTA and MRA would be able to assess the elongated arch and differentiate it from the true coarctation of aorta (79,80). Usually it is asymptomatic, but in rare circumstances, there may be aneurysm formation that may rupture necessitating surgical intervention (81).…”

Section: Coarctation and Pseudocoarctation Of Aortamentioning

confidence: 99%

Congenital anomalies of the aortic arch

Priya

Thomas

Nagpal

et al. 2018

Cardiovasc. Diagn. Ther.

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Congenital anomalies of the aortic arch include diverse subgroups of malformations that may be clinically silent or may present with severe respiratory or esophageal symptoms especially when associated with complete vascular rings. These anomalies may be isolated or may be associated with other congenital heart diseases. Volume rendered computed tomography (CT) and magnetic resonance angiography (MRA) help in preoperative surgical planning by providing information about the complex relationship of aortic arch and its branches to the trachea and esophagus. Three dimensional capabilities of both computed tomography angiography (CTA) and MRA are helpful in determining evidence of tracheal or esophageal compression or other high-risk features in patients with a complete vascular ring.

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Section: Coarctation and Pseudocoarctation Of Aortamentioning

confidence: 99%

Congenital anomalies of the aortic arch

Priya

Thomas

Nagpal

et al. 2018

Cardiovasc. Diagn. Ther.

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“…In the reported case anatomical data and patient’s age at symptoms presentation support the conclusion of a “non severe” CoA despite the pressure gradient degree (probably influenced by AR). This case would better match the recently proposed “aortic pseudocoarctation” definition, usually characterized by lower increase of the LV after-load (as compared to “true CoA”) and milder pathophysiological effects such as the absence of collateral circulation [ 4 ].…”

Section: Discussionmentioning

confidence: 78%

Aortic coarctation: guidelines mismatch across the ocean

Pepe

Iacovelli

Masi

et al. 2014

J Cardiothorac Surg

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Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.

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“…Similar reports are scarce with minimal data available regarding such anomalies in young infants. [1][2][3] The diagnostic criteria in our case included a peculiar chest X-ray pseudo-3 sign, lack of significant pressure difference between the upper and lower extremities (<25 mm Hg), and no evidence of increased collateral circulation. 5 Although aortic pseudocoarctation has been regarded as a benign lesion requiring no specific treatment, death due to aneurysm rupture has been reported.…”

Section: Commentmentioning

confidence: 99%

“…Nor is there increased collateral circulation, which is often present in the setting of true coarctation. [1][2][3] Surgery is indicated for the occurrence of symptoms and/or aneurysmal change in the aorta. 4 We report the successful management of a 7.7-month-old, 10.5-kg infant with prenatally diagnosed combination of pseudocoarctation and associated aortic arch aneurysm.…”

Section: Introductionmentioning

confidence: 99%

A Successful Repair of Pseudocoarctation With Associated Aortic Arch Aneurysm in an Eight-Month-Old Infant

Sekelyk¹,

Abdurakhmanov²,

Kurkevych³

et al. 2019

World J Pediatr Congenit Heart Surg

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Pseudocoarctation of the aorta is an uncommon congenital entity characterized by juxtaductal elongation and tortuosity of the aortic arch. It is known to be associated with aneurysm formation. Our patient is a 7.7-month-female infant followed prenatally by magnetic resonance imaging that detected this anomaly. Subsequently, postnatal preoperative computed tomography angiography was confirmatory. The operation comprised resection of the aneurysmal portion of the aorta and extended end-to-end reconstruction, without prosthesis usage. The left subclavian artery was reimplanted into the left carotid artery. The postoperative course was uneventful. Computed tomography aortography and transthoracic echocardiography demonstrated no residual stenosis at six months of follow-up.

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Pseudocoarctation

Cited by 16 publications

References 3 publications

Congenital anomalies of the aortic arch

Congenital anomalies of the aortic arch

Aortic coarctation: guidelines mismatch across the ocean

A Successful Repair of Pseudocoarctation With Associated Aortic Arch Aneurysm in an Eight-Month-Old Infant

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