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Case Reports in Critical Care
Volume 2011 (2011), Article ID 989621, 3 pages
http://dx.doi.org/10.1155/2011/989621
Case Report

Isolated Interrupted Aortic Arch: Unexpected Diagnosis in a 63-Year-Old Male

1Madani Heart Center, Tabriz Medical University, Tabriz, Iran
2VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA
3Tuberculosis and Lung Disease Research Center, Tabriz Medical University, Tabriz, Iran
4Cardiology Division, Tabriz Medical University, Tabriz, Iran
5Surgery and Pathology VA Western New York Healthcare System, Division of Cardiothoracic Anesthesia and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA

Received 4 May 2011; Accepted 25 May 2011

Academic Editors: Y. D. Durandy, Y. Kluger, and S. Picardo

Copyright © 2011 Hassan Javadzadegan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 63-year-old male with history of hypertension, dyspnea on exertion, and chronic chest pain was admitted for elective cardiac angiography. Arterial blood pressure was 160/90 mmHg in both arms. Femoral and popliteal pulses were extremely weak, and third (S3) and fourth (S4) heart sounds were audible. Aortography showed a mildly dilated aortic root with double brachiocephalic trunk and interruption of aortic arch at isthmus. Profuse and well-developed collaterals appeared at neck and thorax. The patient was recommended to take medical treatment for his hypertension and advanced heart failure. The aim of this paper, is to review the diagnostic and therapeutic options for treatment of the interrupted aortic arch.