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Published on: March 28, 2025
Interrupted aortic arch with cardiac heart failure in young adult
Rogério Fortes Lobato1, Luis Augusto R Saliba, Carlos Regenga Ferreiro
1Hospital do Coração, Associação do Sanatório Sírio, Instituto do Coração, INCOR, São Paulo, SP, Brazil. lobato01@ig.com.br
Abstract:
The interrupted aortic arch (IAA) is a rare cardiopathy, with high morbimortality when treatment is delayed. This study is a case of IAA with atypical clinical behavior in a 19-year-old patient. The history and the clinical assessment were compatible with recent heart failure, associated to syncope episodes and reduction of pulses in the lower limbs. The electrocardiogram showed biventricular and biatrial overload. The echocardiogram showed severe ventricular dysfunction and altered blood flow in the descending aorta. The angiotomography disclosed occlusion of the thoracic aorta after the left subclavian artery. The attained diagnosis was interrupted aortic arch and surgical treatment was indicated.
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