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An elderly patient with non-corrected interruption of the aortic arch in need of total hip replacement: role of preoperative imaging

  • Tjorven Audenaert
  • Silvie Allaert
  • Johan De Sutter
Images in CV Applications

Clinical case

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...

Keywords

Aortic diseases Interrupted aortic arch Coarctation CT angiography Perioperative management 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from the patient described in the manuscript.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    Celoria GC, Patton RB (1959) Congenital absence of the aortic arch. Am Heart J 58:407–413CrossRefPubMedGoogle Scholar
  2. 2.
    Koşucu P, Koşucu M, Dinç H, Korkmaz L (2006) Interrupted aortic arch in a adult: diagnosis with MSCT. Int J Cardiovasc Imaging 22:735–739CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Tjorven Audenaert
    • 1
  • Silvie Allaert
    • 2
  • Johan De Sutter
    • 1
    • 3
  1. 1.Department of CardiologyAZ Maria Middelares HospitalGhentBelgium
  2. 2.Department of AnesthesiologyAZ Maria Middelares HospitalGhentBelgium
  3. 3.Ghent UniversityGhentBelgium

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