Skip to main content

Advertisement

Log in

Thoracoabdominal aorta coarctation with bilateral renal artery involvement: diagnosis with multidetector CT angiography (MDCTA)

  • Original Paper
  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

Atypical coarctation of the descending thoracic and abdominal aorta is a very uncommon vascular disease. Congenital, acquired, inflammatory, and infectious etiologies have been proposed. Patients typically presents with uncontrolled secondary hypertension in the upper half of the body or hypotension in the lower extremities in the first three decades of their lives. We report the case of a 20-year-old man with severe hypertension. Diffuse coarctation of thoracoabdominal aorta associated with bilateral renal artery stenosis was demonstrated clearly by multidetector CT angiography. This is the first case of atypical aortic coarctation diagnosed by MDCTA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Terramani TT, Salim A, Hood DB, Rowe VL, Weaver FA (2002) Hypoplasia of the descending thoracic and abdominal aorta: a report of two cases and review of the literature. J Vasc Surg 36(4):844–848

    PubMed  Google Scholar 

  2. Roques X, Bourdeaud’hui A, Choussat A, Riviere J, Laborde N, Hafez A, et al (1988) Coarctation of the abdominal aorta. Ann Vasc Surg 2:138–144

    Article  PubMed  CAS  Google Scholar 

  3. Taketani T, Miyata T, Morota T, Takamoto S (2005) Surgical treatment of atypical aortic coarctation complicating Takayasu’s arteritis experience with 33 cases over 44 years. J Vasc Surg 41(4):597–601

    Article  PubMed  Google Scholar 

  4. Celoria GC, Patton RB (1959) Congenital absence of aortic arch. Am Heart J 58:407–414

    Article  PubMed  CAS  Google Scholar 

  5. Lande A (1976) Takayasu’s arteritis and congenital coarctation of the descending thoracic and abdominal aorta: a clinical review. Am J Roentgenol 127:227–233

    CAS  Google Scholar 

  6. Maycock WD (1937) congenital stenosis of the abdominal aorta. Am Heart L 13:633–646

    Article  Google Scholar 

  7. Janzen J, Vuong PN, Rothenberger-Janzen K (1999) Takayasu’s arteritis and fibromuscular dysplasia as a cause of atypical coarctation of the aorta: retrospective analysis of seven cases. Heart Vessels 14:277–282

    PubMed  CAS  Google Scholar 

  8. Van Meurs-van Woezik H, Wolff ED, Essed CE, Meradji M, Bos E, de Villeneueve VH. Tandem. (1985) Coarctation of the thoracic aorta with hypoplasia of the abdominal aorta. Thorac Cardiovasc Surg 33:44–47

  9. Ben- Shoshana M, Rossi NP, Korns ME (1973) Coarctation of the abdominal aorta. Arch Pathol 95:221–225

    Google Scholar 

  10. Rossi MA (1997) Infrarenal aortic coarctation and diffuse hypoplasia of the aortoiliac–femoral system. Acta Cardiol 52:373–379

    PubMed  CAS  Google Scholar 

  11. Siassi B,Kylman G, Emmannouilides GC (1970) Hypoplasia of the abdominal aorta associated with rubella syndrome. Am J Dis Child 120:476–479

    PubMed  CAS  Google Scholar 

  12. Arnot RS, Louw JH (1973) The anatomy of the posterior wall of the abdominal aorta. Its significance with regard to hypoplasia of the distal aorta. South Afr Med J 47: 899–902

    CAS  Google Scholar 

  13. Cademartiri F,Raaijmakers RH, Kuiper JW, van Dijk LC, Pattynama PM, Krestin GP (2004) Multi-detector row CT angiography in patients with abdominal angina. Radiographics 24(4):969–984

    Article  PubMed  Google Scholar 

  14. Wintersperger BJ, Nikolaou K, Becker CR (2004) Multidetector-row CT angiography of the aorta and visceral arteries. Semin Ultrasound CT MR 25(1):25–40

    Article  PubMed  Google Scholar 

  15. Kosucu P, Kosucu M, Dinc H, Korkmaz L (2006) Interrupted aortic arch in a adult: diagnosis with MSCT. Int J Cardiovasc Imaging. May 9

  16. Bjork VO, Intonti F (1964) Coarctation of the abdominal aorta with right renal artery stenosis. Ann Surg 160:54–60

    Article  Google Scholar 

  17. Cohen JR, Birnbaum E (1988) Coarctation of the abdominal aorta. J Vasc Surg 8:160–164

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmet Turan Ilica.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ilica, A.T., Bilici, A., Ilhan, A. et al. Thoracoabdominal aorta coarctation with bilateral renal artery involvement: diagnosis with multidetector CT angiography (MDCTA). Int J Cardiovasc Imaging 23, 645–648 (2007). https://doi.org/10.1007/s10554-006-9135-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-006-9135-2

Keywords

Navigation