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Saccular Distal Aorta Aneurysm Accompanying Aortic Coarctation

Year 2006, Volume: 7 Issue: 3, 45 - 47, 01.12.2006

Abstract

Aortic coarctation is the congenital narrowing of aorta and is usually located at the level of proximal descending aorta. Aortic aneurysms proximal to the coarcted segment and cerebral aneurysms are frequently associated with coarctation of aorta and rupture of these lesions lead to fatal consequences. Another complication accompanying coarctation is the pseudo-aneurysm seen in surgically corrected coarctation. However, saccular or fusiform aortic aneurysm distal to the coarcted segment is a very rare condition. In this paper; computed tomography findings were presented in a 75-year-old man with saccular aneursm of the descending aorta associated with aortic coarctation.

References

  • 1. Jenkins NP, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment. Q J Med 1999; 92: 365-371.
  • 2. Kumar S, Mandalam KR, Unni M, Roy S, Gupta AK, Rao VR. Left cervical arch and associated abnormalities. Cardiovasc Intervent Radiol 1989;12 (2):88-91
  • 3. Pearson GD, Kan JS, Neill CA, Midgley FM, Gardner TJ, Hougen TJ. Cervical aortic arch with aneurysm formation.Am J Cardiol 1997; 79(1):112-4
  • 4. Konen E, Merchant N, Provost Y, McLaughlin PR, Crossin J, Paul NS. Coarctation of the aorta before and fter correction: the role of cardiovascular MRI. Am J Roentgenol 2004;182(5):1333-9
  • 5. Warnes CA, Deanfield JE. Congenital heart disease in adults. In : Fuster V,Alexander RW, O'Rourke RA (eds) , Hurst's the heart, 11th ed. McGraw-Hill Company, 2004; pp.1866-8
  • 6. Imai Y, Harada T, Yamada H, Kurihara H, Seko Y, Yamazaki T, Komuro I, Yamaoki K, Sugiyama T, Ashida H, Takamoto S, Yazaki Y. Left cervical aortic arch with aortic coarctation and saccular aneurysm. Jpn Circ J 2000; 64(7):544-6
  • 7. Duncan WJ, Bharadwaj B, George D, Maningas C, Tyrrell M. Saccular aortic aneurysm in an asymptomatic child. Pediatr Cardiol 1984; 5(4):313-6
  • 8. Takeda T, Nishiyama K, Morooka S, Ueno A, Tada H, Ueda H. Unusual coarctation of the aorta with a large saccular aneurysm. Jpn Heart J 1966; 7(6):608-16
  • 9. Celik T, Iyisoy A, Kursaklioglu H, Unlu M, Kose S, Ozmen N, Isik E.Alarge calcified aneurysm in a patient with aortic coarctation. Int J Cardiovasc Imaging 2006; 22:93-5
  • 10. Mitchell IM, Pollock JC. Coarctation of the aorta and post-stenotic aneurysm formation. Br Heart J 1990; 64(5):332-3
  • 11. Matsumura K, Hirano T, Takeda K, Matsuda A, Nakagawa T, Yamaguchi N, Yuasa H, Kusakawa M, Nakano T. Incidence of aneurysms in Takayasu's arteritis.Angiology 1991; 42(4):308-15
  • 12. Momma K, Takao A, Ando M. Angiocardiographic study of coarctation of the aorta-morphology and morphogenesis. Jpn Circ J 1982; 46(2):174-83
  • 13. Hager A, Kaemmerer H, Leppert A, Prokop M, Blucher S, Stern H, Hess J. Follow-up of adults with coarctation of the aorta: comparison of helical CT and MRI, and impact on assessing diameter changes. Chest 2004; 126(4):1169-76

AORT KOARKTASYONUNA EŞLİK EDEN SAKKÜLER İNEN AORT ANEVRİZMASI

Year 2006, Volume: 7 Issue: 3, 45 - 47, 01.12.2006

Abstract

Aortun konjenital darlığı olan aort koarktasyonu, sıklıkla inen aortun proksimal kesimini tutar. Aortkoarktasyonuna eşlik eden serebral anevrizmalar ve koarkte segmentin proksimalindeki aort anevrizmaları,göreceli sık rastlanan komplikasyonlar arasında yer alırlar ve aortik rüptür ve anerizma rüptürü gibi ölümcülsonuçlara neden olabilirler. Cerrahi tedavi uygulanan olgularda görülen psödoanevrizmalar da koarktasyon ileilişkili ve sık görülen komplikasyonlar arasında sayılabilir. Bununla birlikte, koarkte segmentin distalindesakküler ya da fuziform yapıda aort anevrizması görülmesi nadir bir durumdur. Bu yazıda; göğüs ağrısı vesolunum güçlüğü nedeniyle araştırılırken aort koarktasyonu ve distal ucunda sakküler aort anevrizması saptanan75 yaşındaki erkek hasta, bilgisayarlı tomografi bulguları ile sunulmaktadır

References

  • 1. Jenkins NP, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment. Q J Med 1999; 92: 365-371.
  • 2. Kumar S, Mandalam KR, Unni M, Roy S, Gupta AK, Rao VR. Left cervical arch and associated abnormalities. Cardiovasc Intervent Radiol 1989;12 (2):88-91
  • 3. Pearson GD, Kan JS, Neill CA, Midgley FM, Gardner TJ, Hougen TJ. Cervical aortic arch with aneurysm formation.Am J Cardiol 1997; 79(1):112-4
  • 4. Konen E, Merchant N, Provost Y, McLaughlin PR, Crossin J, Paul NS. Coarctation of the aorta before and fter correction: the role of cardiovascular MRI. Am J Roentgenol 2004;182(5):1333-9
  • 5. Warnes CA, Deanfield JE. Congenital heart disease in adults. In : Fuster V,Alexander RW, O'Rourke RA (eds) , Hurst's the heart, 11th ed. McGraw-Hill Company, 2004; pp.1866-8
  • 6. Imai Y, Harada T, Yamada H, Kurihara H, Seko Y, Yamazaki T, Komuro I, Yamaoki K, Sugiyama T, Ashida H, Takamoto S, Yazaki Y. Left cervical aortic arch with aortic coarctation and saccular aneurysm. Jpn Circ J 2000; 64(7):544-6
  • 7. Duncan WJ, Bharadwaj B, George D, Maningas C, Tyrrell M. Saccular aortic aneurysm in an asymptomatic child. Pediatr Cardiol 1984; 5(4):313-6
  • 8. Takeda T, Nishiyama K, Morooka S, Ueno A, Tada H, Ueda H. Unusual coarctation of the aorta with a large saccular aneurysm. Jpn Heart J 1966; 7(6):608-16
  • 9. Celik T, Iyisoy A, Kursaklioglu H, Unlu M, Kose S, Ozmen N, Isik E.Alarge calcified aneurysm in a patient with aortic coarctation. Int J Cardiovasc Imaging 2006; 22:93-5
  • 10. Mitchell IM, Pollock JC. Coarctation of the aorta and post-stenotic aneurysm formation. Br Heart J 1990; 64(5):332-3
  • 11. Matsumura K, Hirano T, Takeda K, Matsuda A, Nakagawa T, Yamaguchi N, Yuasa H, Kusakawa M, Nakano T. Incidence of aneurysms in Takayasu's arteritis.Angiology 1991; 42(4):308-15
  • 12. Momma K, Takao A, Ando M. Angiocardiographic study of coarctation of the aorta-morphology and morphogenesis. Jpn Circ J 1982; 46(2):174-83
  • 13. Hager A, Kaemmerer H, Leppert A, Prokop M, Blucher S, Stern H, Hess J. Follow-up of adults with coarctation of the aorta: comparison of helical CT and MRI, and impact on assessing diameter changes. Chest 2004; 126(4):1169-76
There are 13 citations in total.

Details

Other ID JA84CD57SU
Journal Section Case Report
Authors

Alparslan Ünsal This is me

Can ZAFER Karaman This is me

Eda Kazak This is me

Publication Date December 1, 2006
Published in Issue Year 2006 Volume: 7 Issue: 3

Cite

EndNote Ünsal A, Karaman CZ, Kazak E (December 1, 2006) Saccular Distal Aorta Aneurysm Accompanying Aortic Coarctation. Meandros Medical And Dental Journal 7 3 45–47.