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  • Title: Primary coarctation-related isthmus aneurysm in an adult.
    Author: González-Santos JM, Arnáiz-García ME, Dalmau-Sorlí MJ, Rodríguez-Collado J, López Rodríguez J.
    Journal: Turk Kardiyol Dern Ars; 2016 Dec; 44(8):697-699. PubMed ID: 28045418.
    Abstract:
    A 56-year-old female patient was transferred due to the presence of a left supraclavicular pulsatile mass. Further work-up was performed to confirm diagnosis. Angiography and computed tomography were also performed. The anatomy of the thoracic aorta suggested an unknown and untreated aortic coarctation. A second aortic narrowing was identified at the aortic arch, a result of elongation of the aorta. Endovascular approach was not possible, due to complexity of the aortic anatomy, and tortuosity. Open surgical repair was successfully performed. A primary coarctation-related isthmus aneurysm is an exceptional finding in adults, and is a life-threatening condition when diagnosis is delayed. Management and treatment are controversial and challenging.
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