Prethodno priopćenje
Secondary Hypertension due to Isolated Interrupted Aortic Arch in a 60-Year-Old Person – One-Year Follow up
Jure Mirat
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital »Sveti Duh«, Internal Medicine Clinic, Zagreb, Croatia
Edvard Galić
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital »Sveti Duh«, Internal Medicine Clinic, Zagreb, Croatia
Vedran Ćorić
; Department of Cardiac Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Gordana Rajsman
; Department of Cardiac Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Luka Vrbanić
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital »Sveti Duh«, Internal Medicine Clinic, Zagreb, Croatia
Melanija Ražov Radas
; Department of Internal Medicine, General Hospital Zadar, Zadar, Croatia
Zvonko Miličević
; Eli Lilly and Company, Regional Operations GES.M.B.H., Vienna, Austria
Goran Kondža
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital Osijek, Osijek, Croatia
Refmir Tadžić
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital Osijek, Osijek, Croatia
Aleksandar Vćev
; University »J. J. Strossmayer«, Osijek, School of Medicine Osijek, University Hospital Osijek, Osijek, Croatia
Sažetak
Interrupted aortic arch (IAA) is a congenital defect characterized by loss of luminal continuity between the ascending and descending aorta1. It is a rare malformation with an estimated incidence of perinatally diagnosed cases of 3 per million live births3. The condition is considered extremely rare in adults. However, its true prevalence in this population is unknown. We have found 30 case reports of IAA in adults in literature, 5 of whom were older than 50 years. Four of them had type A IAA. Arterial hypertension is a typical co-morbidity. In this report we describe a 60-year-old male patient who had a type A asymptomatic IAA. Although we initially suspected the aortic coarctation, further invasive procedures revealed complete interruption of the aortic arch just distal to the origin of the left subclavian artery. The patient underwent surgical repair, followed by full recovery and near-normalization of blood pressure.
Ključne riječi
interrupted aortic arch; aortic atresia; coarctation of the aorta; congenital heart disease in adults; secondary hypertension; hypertension
Hrčak ID:
51784
URI
Datum izdavanja:
25.3.2010.
Posjeta: 1.507 *