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Ann Thorac Surg 1986;42:210-212
© 1986 The Society of Thoracic Surgeons

Articles

Coarctation of the Midaortic Arch Presenting with Monoparesis

Susan E. Stred, M.D., Craig J. Byrum, M.D.*, Edward L. Bove, M.D., Michael Oliphant, M.D.

Divisions of Pediatric Cardiology and Pediatric Cardiac Surgery, Departments of Pediatrics and Surgery, State University of New York Upstate Medical Center, and the Department of Medical Imaging, Crouse-Irving Memorial Hospital, Syracuse, NY

Accepted for publication November 12, 1985.

* Address reprint requests to Dr. Byrum, Division of Pediatric Cardiology, 725 Irving Ave, Syracuse, NY 13210

A 6 1/2-month-old infant was seen with right-arm monoparesis, right upper extremity hypertension, and findings of a coarctation located in the midaortic arch between the innominate and left common carotid arteries. Associated left cerebral atrophy (Dyke-Davidoff syndrome) was documented by computed tomography. Excision of the coarctation segment with primary repair of the arch and reanastomosis of the left carotid to the innominate artery was accomplished.




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