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Coarctation of the midaortic arch presenting with monoparesis
The Annals of Thoracic Surgery
|August 1, 1986
Insights
A congenital aortic arch coarctation caused infant right arm weakness and high blood pressure. Surgical repair involved removing the narrowed segment and reconnecting the left carotid artery.
Area of Science:
- Pediatric Cardiology
- Neurology
- Vascular Surgery
Background:
- Congenital heart defects can present with neurological symptoms in infants.
- Aortic arch anomalies, though rare, require prompt diagnosis and intervention.
- Dyke-Davidoff syndrome is associated with cerebral atrophy, potentially linked to vascular compromise.
Abstract:
A 6 1/2-month-old infant was seen with right-arm monoparesis, right upper extremity hypertension, and findings of a coarctation located in the midaortic arch between the innominate and left common carotid arteries. Associated left cerebral atrophy (Dyke-Davidoff syndrome) was documented by computed tomography. Excision of the coarctation segment with primary repair of the arch and reanastomosis of the left carotid to the innominate artery was accomplished.