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[Pseudocoarctation of the aorta (author's transl)]
Zeitschrift Fur Kardiologie
|January 1, 1982
Summary
Pseudocoarctation, an aortic arch anomaly, presents as a double curvature without significant stenosis. This condition in adults often co-occurs with other cardiac findings but typically requires no specific treatment.
Area of Science:
- Cardiovascular Medicine
- Radiology
Background:
- Pseudocoarctation is a rare anomaly of the aortic arch characterized by abnormal cranial and caudal extension with a double curvature.
- Unlike coarctation, it does not typically involve hemodynamically significant stenosis or collateral circulation.
Observation:
- The study observed pseudocoarctation in three adult patients.
- All patients presented with a systolic ejection murmur.
Findings:
- Pseudocoarctation was associated with a bicuspid aortic valve and left axis deviation on ECG in all three cases.
- Two patients also exhibited mild aortic valvular disease, an aneurysm of the membranous septum, and left anterior hemiblock on ECG.
Implications:
- Chest X-rays require careful differential diagnosis, considering coarctation, aortic aneurysm, and mediastinal tumors.
- Isolated pseudocoarctation in adults is a benign condition that does not necessitate specific medical or surgical intervention.