Korean J Radiol.  2008 Jun;9(3):283-285. 10.3348/kjr.2008.9.3.283.

Pseudocoarctation of the Aorta Associated with the Anomalous Origin of the Left Vertebral Artery: a Case Report

Affiliations
  • 1Department of Pediatrics, Dankook University College of Medicine, Cheonan, Choongnam, Korea. drsonped@hanmail.net

Abstract

Pseudocoarctation of the aorta is a rare congenital anomaly of the aortic arch, and it has been described as an elongation of the aortic arch with "kinking" at the level of the ligamentum arteriosum without a pressure gradient across the lesion. The treatment for this condition is controversial. We report here on an unusual case of pseudocoarctation of the aorta associated with the anomalous origin of the left vertebral artery and we include a review of the medical literature.

Keyword

Pseudocoarctation; Computed tomography (CT); Vertebral artery

MeSH Terms

Aortic Coarctation/*complications
Child
Humans
Male
Vertebral Artery/*abnormalities

Figure

  • Fig. 1 Pseudocoarctation of aorta associated with anomalous origin of left vertebral artery in 6-year-old body. A. Three-dimensional CT reconstruction demonstrates elongated and kinked aortic arch (long arrow) with anomalous origin of left vertebral artery (short arrow). B. Contrast enhanced CT reveals isthmic portion of descending aorta is not adjacent to spine and it is surrounded by aerated lung (arrow). C. Superior view of volume rendered image shows that aortic arch is elongated and kinked and isthmic portion of descending aorta is not adjacent to spine (arrow).


Reference

1. Dotter CT, Steinberg I. Angiocardiography. 1951. New York: Paul B Hoeber;181–184.
2. Souders CR, Pearson CM, Adams HD. An aortic deformity simulating mediastinal tumor: a subclinical form of coarctation. Dis Chest. 1951. 20:35–45.
3. Yang BZ. Pseudocoarctation of the aorta with aneurysm formation: case report. Chin Med J. 2005. 118:1230–1232.
4. Albayram S, Gailloud P, Wasserman BA. Bilateral arch origin of the vertebral arteries. AJNR Am J Neuroradiol. 2002. 23:455–458.
5. Vorster W, du Plooy PT, Meiring JH. Abnormal origin of internal thoracic and vertebral arteries. Clin Anat. 1998. 11:33–37.
6. Gaupp RJ, Fagan CJ, Davis M, Epstein NE. Pseudocoarctation of the aorta. J Comput Assist Tomogr. 1981. 5:571–573.
7. Taneja K, Kawlra S, Sharma S, Rajani M. Pseudocoarctation of the aorta: complementary findings on plain film radiography, CT, DSA, and MRA. Cardiovasc Intervent Radiol. 1998. 21:439–441.
8. Grigsby JL, Galbraith T, Shurmur S, Deligonul U. Pseudocoarctation of the aorta complicated by saccular aneurysm: treatment by aortic arch replacement. Am Heart J. 1996. 131:200–202.
9. Turner AF, Swenson BE, Jacobson G, Kay JH. Kinking or buckling of the aorta. Case report with complication of aneurysm formation. Am J Roentgenol Radium Ther Nucl Med. 1966. 97:411–415.
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