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[Coarctation and dystrophic aneurysm of the thoracic aorta (author's transl)].

Authors
  • Guilmet, D
  • Bical, O
  • Bachet, J
  • Goudot, B
  • Tawil, N
  • Brodaty, D
Type
Published Article
Journal
La Nouvelle presse médicale
Publication Date
May 08, 1982
Volume
11
Issue
21
Pages
1615–1618
Identifiers
PMID: 7099938
Source
Medline
License
Unknown

Abstract

Coarctation and dystrophic aneurysm of the thoracic aorta are seldom associated. In this series of 6 patients the aneurysm, often voluminous, was located on the ascending aorta in 1 case, on the distal part of the aortic arch in 3 cases and on the descending aorta in 2 cases. Surgical treatment consisted of resection and prosthetic replacement of the coarcted and aneurysmal segment under extracorporeal circulation. In a 13-years old patient, however, the coarctation was repaired but the aneurysm of the descending aorta below it was deliberately left in situ. All six patients are now asymptomatic. Post-operative angiography was performed in 4 cases with satisfactory results. In all cases the dystrophic aneurysm resulted from lesions of the elastic fibers of the tunica media and was therefore different from other aneurysms associated with coarctations.

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