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Difference and similarity between type A interrupted aortic arch and aortic coarctation in adults:Two case reports

World Journal of Clinical Cases 2022年第11期10卷 3472-3477页

作者： Si-Xie Ren Qian Zhang Pan-Pan Li Xiao-Dong Wang Department of Radiology Chengdu Second People’s HospitalChengdu 610000Sichuan ProvinceChina Department of Radiology First Hospital of Shanxi Medical UniversityTaiyuan 030000Shanxi ProvinceChina Department of Radiology Sichuan Cancer HospitalChengdu 610000Sichuan ProvinceChina

BACKGROUND Aortic coarctation(CoA)is usually confused with interrupted aortic arch(IAA),especially adult type A interrupted aortic arch,due to their similar anatomical *** the main difference between them is whether arterial lumen exhibits continuity or not,the clinical manifestations are similar and connection exists between *** type A IAA is considered as an extreme form of CoA,which is complete discontinuity of aortic function and lumen caused by degenerative arterial *** paper reports two cases(interrupted aortic arch and severe aortic coarctation)to analyze the difference and similarity between *** SUMMARY The two cases of patients presented with hypertension for many *** tomography angiography showed that the aortic arch and descending aorta were discontinuous or significantly narrowed with extensive collateral *** IAA patient refused surgical treatment and blood pressure could be controlled with *** the CoA patient underwent stent implantation because of uncontrollable hypertension,the blood flow recovered smoothly and the blood pressures at both ends of the stenosis returned to normal after *** Adult type A IAA and CoA have difference and similarity,and type A IAA is associated with CoA to a certain *** treatment method should be chosen based on the patient's clinical symptoms rather than the severity of the lesion.

关键词： Interrupted aortic arch Aortic coarctation computed tomography angiogram Case report

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