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Chest, Vol 97, 1239-1240, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Figure-eight kinking of the aorta (pseudocoarctation) coexistent with coarctation

LM Tsai, M Fu, CH Chang and JS Hung
Section of Cardiology, Chang Gung Medical College, Taiwan, Republic of China.

An asymptomatic young man presented with a cardiac murmur and hypertension only in the right arm. Angiograms showed kinking of the aortic arch with a figure-eight appearance consistent with pseudocoarctation. Before the kinked segment, also demonstrated were a stenotic lesion in the aortic arch proximal to the left carotid artery and profound collateral circulations in the right thorax. These findings strongly suggested a rare combination of pseudocoarctation and true coarctation. His hypertension was corrected following surgery with a bypass graft between the ascending aorta and the abdominal aorta.


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