An elderly patient with non-corrected interruption of the aortic arch in need of total hip replacement: role of preoperative imaging
A 70 years old woman presented at our cardiac outpatient clinic for a preoperative cardiac evaluation before undergoing total hip replacement. There was a notion of a non-treated coarctation of the aorta, diagnosed at the age of 12, without any further follow-up or intervention. She mentioned no cardiac complaints and no specific symptoms compatible with a coarctation of the aorta (headache, nosebleeds, dizziness, tinnitus, shortness of breath, abdominal angina, claudication, exertional leg fatigue or cold feet). She was treated with an extensive number of antihypertensive drugs including a beta-blocker, ACE-inhibitor, calcium channel blocker, thiazide diuretic and a central acting drug.
Clinical examination revealed high blood pressure at the level of the higher limbs (310/95 mmHg at the right side and 170/85 mmHg at the left side) and mild hypertension at the level of the lower limbs (150/90 mmHg femoral). Echocardiography showed a normal sized left ventricle with...
KeywordsAortic diseases Interrupted aortic arch Coarctation CT angiography Perioperative management
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Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from the patient described in the manuscript.
This article does not contain any studies with human participants or animals performed by any of the authors.