Pseudocoarctation of the aorta: An unusual variant with coarctation

Lavin, Norman; Mehta, S.; Liberson, Miriam; Pouget, Jean

doi:10.1016/0002-9149(69)90506-2

Cited by 27 publications

(20 citation statements)

References 17 publications

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“…In women with TS, the most common arterial finding was elongation of the transverse arch (ETA; 42/85, 49%), which was typically seen as increased distance between the origins of the left common carotid and the left subclavian arteries, with flattening of the arch and kinking along its lesser curvature (Figure 1), a feature sometimes referred also as "pseudocoarctation." 16,17 ETA was defined by the presence of both (1) posterior origin of the left subclavian artery behind the trachea on axial images and (2) inward indentation or convex kinking of the inferior aortic contour along the lesser curvature. Coarctation of the aorta was the second most common arterial finding, detected in 10 subjects (12%).…”

Section: Arterial Anomaliesmentioning

confidence: 99%

Major Vascular Anomalies in Turner Syndrome

et al. 2004

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Background-Turner syndrome (TS) is associated with aortic coarctation and dissection; hence, echocardiographic evaluation of all patients is currently recommended. X-ray angiography in clinically symptomatic patients has suggested a range of other vascular anomalies, but the true prevalence of such lesions in TS is unknown. To better understand the prevalence and pathogenesis of cardiovascular defects in TS, we prospectively evaluated a group of asymptomatic adult volunteers with TS using magnetic resonance (MR) angiography. Methods and Results-A total of 85 adults with TS and 27 normal female adult volunteers underwent gadolinium-enhanced 3D MR angiography. A high prevalence of aortic anomalies was seen in women with TS, including elongation of the transverse arch (49%), aortic coarctation (12%), and aberrant right subclavian artery (8%). Venous anomalies were also prominent, including persistent left superior vena cava (13%) and partial anomalous pulmonary venous return (13%). None of these anomalies were found in healthy female controls. The constellation of elongation of the transverse arch, aortic coarctation, and persistent left superior vena cava was significantly associated with women with TS. Neck webbing and increased thoracic anterior-to-posterior dimension diameters were strong predictors for arterial and venous anomalies. Conclusions-Thoracic vascular anomalies are common in TS, occurring in Ϸ50% of a group not preselected for cardiovascular disease. The highly significant association between neck webbing, increased chest diameter, and these vascular anomalies suggests that in utero, centrally localized lymphatic obstruction may contribute to these cardiovascular deformities in TS. Improved recognition of these often-undetected vascular lesions may be important for identification of patients in need of closer cardiovascular monitoring.

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Section: Arterial Anomaliesmentioning

confidence: 99%

Major Vascular Anomalies in Turner Syndrome

et al. 2004

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“…On the contrary, it is possible to assume that they are closely linked with the failure of the aortic arch embryo-genetic evolution involving those vessels that arise in the arch. In this regard, Lavin et al 13 proposed that failure of the distal right aortic arch to atrophy and its subsequent incorporation into the distal left arch might be the embryologic basis of kinking; Pattison and Grainger 12 postulated that failure of normal embryologic compression of the third to seventh segments results in pseudocoarctation.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies suggest that pseudocoarctation is a congenital anomaly. 1, [11][12][13] This paper describes a singular case of aortic kinking associated with abnormalities in the size of the vessels branching from the aortic arch.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic and Angiographic Findings in a Case of Kinking of the Aorta

Lembo¹,

Latte²

1982

Angiology

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“…A pseudocoarctation is thought to be related to an abnormal elongation of the fourth aortic arch and third to seventh dorsal aortic seg¬ ments. 17 In some cases of cervical aor¬ tic arch, the redundant descending aorta has been characterized by some kinking and erroneously diagnosed as pseudocoarctation. In these patients, it is suggested that the primary diag¬ nosis of cervical aorta be made and that the kinking, known as pseudo¬ coarctation, be considered secondary to the redundant portion of the aorta.…”

Section: Commentmentioning

confidence: 99%