Severe diffuse hypoplasia of the aorta associated with multiple vascular abnormalities

Author:

Grebeldinger Slobodan P1,Balj Svetlana S2,Ađić Oto3

Affiliation:

1. Institute for Children and Youth Health Care of Vojvodina, Clinic of Pediatric Surgery

2. Medical Faculty of Novi Sad, University of Novi Sad, Novi Sad

3. Oncology Institute of Vojvodina, Center for Diagnostic Imaging, Sremska Kamenica, Serbia

Abstract

Hypoplasia of the thoracic and abdominal aorta is an extremely rare vascular pathology. The most common clinical manifestation is severe uncontrolled hypertension in adolescents and young adults. Medical treatment alone can decrease blood pressure, but often very high doses of antihypertensive drugs are needed. When hypertension is refractory to the antihypertensive medications, surgical revascularization is considered as the treatment of choice. We report the case of a severe and diffuse hypoplasia of the aorta, beginning with the aortic isthmus, to the aortic bifurcation, associated with an aberrant celiac trunk and superior mesenteric artery, and with other multiple vascular abnormalities. Unlikely, the only manifestation of this extensive vascular malformation was medicamentously controllable hypertension. To our knowledge, this severe vascular anomaly, with such a minimal clinical manifestation, has not been previously described in the English literature.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,General Medicine,Surgery

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