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Left cervical aortic arch with aortic coarctation and saccular aneurysm
1The Third Department of Internal Medicine, University of Tokyo, Japan. imaiycard-tky@umin.ac.jp
Japanese Circulation Journal
|August 10, 2000
Summary
A rare cervical aortic arch with coarctation and aneurysm caused severe hypertension. Surgical repair corrected the aortic defects, improving blood pressure but requiring ongoing medication.
Area of Science:
- Cardiovascular Surgery
- Medical Imaging
- Congenital Heart Disease
Background:
- Cervical aortic arch is a rare congenital anomaly.
- It can be associated with other cardiovascular abnormalities.
- This case highlights a complex presentation with coarctation and aneurysm.
Observation:
- A 48-year-old male presented with a left cervical aortic arch.
- Clinical findings included severe upper body hypertension (50 mmHg gradient) and a continuous murmur.
- Magnetic resonance angiography confirmed the aortic malformations.
Findings:
- Surgical resection of the aortic coarctation and aneurysm was performed.
- Thoracic aorta reconstruction was successfully completed.
- Postoperative blood pressure discrepancy significantly reduced.
Implications:
- This case demonstrates successful surgical management of a complex cervical aortic arch malformation.
- Early diagnosis and intervention are crucial for managing associated hypertension and vascular defects.
- Long-term antihypertensive medication may still be necessary.