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Ann Thorac Surg 1999;67:248-250
© 1999 The Society of Thoracic Surgeons

Case Reports

Cervical aortic arch with pseudocoarctation: presentation with spontaneous rupture

John. S. Ikonomidis, MD, PhDa, Robert C. Robbins, MDa

a Department of Cardiothoracic Surgery, Stanford Health Services, Stanford, California, USA

Accepted for publication June 23, 1998.

Address reprint requests to Dr Robbins, Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, Stanford Health Services, Stanford, CA 94305-5247

A 23-year-old man presented with hypotension secondary to a left hemothorax. Diagnostic studies revealed a left cervical arch associated with a redundant tortuous pseudocoarctation in the proximal descending thoracic aorta. Operative exploration revealed an aortic rupture just proximal to the pseudocoarctation. Resection of the diseased aorta and tube graft replacement was performed under circulatory arrest. The patient was discharged home on the 12th postoperative day.






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