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Aortic Coarctation Progresses to Become Functional Interrupted Aortic Arch
Liang Wang1, Minhua Fang2, Rui Ma2
1Department of Cardiac Surgery, General Hospital of Northern Theatre Command, Shenyang, Liaoning, China; Dalian Medical University, Dalian, Liaoning, China.
Background:
This article reports a rare clinical case of isolated coarctation of the aorta progressing to functional interrupted aortic arch in an adolescent.
Case Summary:
The patient was a 13-year-old girl referred to our institution because of hypertension detected during a school screening examination 1 month prior. The diagnosis was confirmed through sequential evaluations, including transthoracic echocardiography and cardiac and great vessels computed tomography angiography. Surgical repair with patch augmentation and prosthetic graft reconstruction was successfully performed, achieving favorable outcomes. The patient was discharged with full recovery and remains under regular follow-up.
Discussion:
This case report highlights the clinical uniqueness and therapeutic challenges of this rare progression.
Take-Home Message:
In clinical practice, functional interrupted aortic arch should be considered in the differential diagnosis of hypertension in adolescents, albeit rarely.
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