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Current Cardiology Reviews

Editor-in-Chief

ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

Review Article

Pseudocoarctation of the Arch and the Abdominal Aorta: A Review

Author(s): Manjappa Mahadevappa*, Prashanth Kulkarni, Lakshay Attri and Nidhi Basavaraj

Volume 19, Issue 5, 2023

Published on: 18 May, 2023

Article ID: e290323215140 Pages: 10

DOI: 10.2174/1573403X19666230329135028

Price: $65

Abstract

Pseudocoarctaion of the aorta is a rare congenital anomaly occurring in isolation or with other congenital heart diseases. The anatomical basis of the condition is linked to an elongated, redundant aorta which may affect the arch, or the abdominal aorta rarely giving rise to kink and buckling without causing any significant functional stenosis. It should be carefully differentiated from the common true coarctation of the aorta. No clinical features are specific to pseudo coarctation and are often diagnosed incidentally. Although asymptomatic in the majority, few patients can have nonspecific symptoms and complications due to aneurysm formation, dissection, or rupture of the aorta. Hence Pseudocoarctaion should be closely followed for the onset of symptoms or possible complications. Without recommendations, no specific therapy is indicated in asymptomatic patients, although symptoms and complications warrant definitive treatment. As the natural history of the disease is unknown, the condition, when diagnosed, should be closely followed up for the occurrence of any complications. This article reports a pseudo aortic coarctation involving the arch and a brief literature review of this rare congenital anomaly.

[1]
Rösler H, White PD. Unusual variations of the roentgen shadow of the elongated thoracic aorta. American Heart Journal 1931; 6(6): 768-77.
[http://dx.doi.org/10.1016/S0002-8703(31)90362-1]
[2]
Singh S, Hakim FA, Sharma A, et al. Hypoplasia, pseudocoarctation and coarctation of the aorta-A systematic review. Heart Lung Circ 2015; 24(2): 110-8.
[http://dx.doi.org/10.1016/j.hlc.2014.08.006] [PMID: 25442062]
[3]
Steinberg I, Engle MA, Holswade GR, Hagstrom JWC. Pseudocoarctation of the aorta associated with congenital heart disease: Report of ten cases. AJR Am J Roentgenol 1969; 106(1): 1-20.
[http://dx.doi.org/10.2214/ajr.106.1.1] [PMID: 4889993]
[4]
Klein LW, Levin JL, Weintraub WS, Agarwal JB, Helfant RH. Pseudocoarctation of the aortic arch in a patient with turner’s syndrome. Clin Cardiol 1984; 7(11): 621-3.
[http://dx.doi.org/10.1002/clc.4960071114] [PMID: 6499293]
[5]
Prabhakar M, Ranniger K, Kittle CF. Pseudo-coarctation of the abdominal aorta. Arch Surg 1972; 104(3): 345-6.
[http://dx.doi.org/10.1001/archsurg.1972.04180030091022] [PMID: 5010848]
[6]
Gay WA Jr, Young WG Jr. Pseudocoarctation of the aorta. J Thorac Cardiovasc Surg 1969; 58(5): 739-45.
[http://dx.doi.org/10.1016/S0022-5223(19)42554-3] [PMID: 5348163]
[7]
Lajos TZ, Meckstroth CV, Klassen KP, Sherman NJ. Pseudocoarctation of the aorta: A variant or an entity? Chest 1970; 58(6): 571-6.
[http://dx.doi.org/10.1378/chest.58.6.571] [PMID: 5486551]
[8]
Adaletli I, Kurugoglu S, Davutoglu V, Ozer H, Besirli K, Sayin AG. Pseudocoarctation. Can J Cardiol 2007; 23(8): 675-6.
[http://dx.doi.org/10.1016/S0828-282X(07)70232-5] [PMID: 17593995]
[9]
Etemad-Rezai R, Rankin RN. Abdominal aortic pseudocoarctation. CMAJ 2009; 180(3): 317-8.
[http://dx.doi.org/10.1503/cmaj.080891] [PMID: 19188631]
[10]
Dotter CT, Steinberg I. Angiocardiography. Circulation 1951; 4(1): 123-38.
[http://dx.doi.org/10.1161/01.CIR.4.1.123] [PMID: 14848963]
[11]
Robb GP. An atlas of angiocardiography. Armed Forces Institute of Pathology 1951.
[12]
Souders CR, Pearson CM, Adams HD. An aortic deformity simulating mediastinal tumor: A subclinical form of coarctation. Dis Chest 1951; 20(1): 35-45.
[http://dx.doi.org/10.1378/chest.20.1.35] [PMID: 14840276]
[13]
Dotter CT, Steinberg I. Angiocardiography in congenital heart disease. Am J Med 1952; 12(2): 219-37.
[http://dx.doi.org/10.1016/0002-9343(52)90214-3] [PMID: 14902869]
[14]
Diguglielmo L, Guttadauro M. Kinking of aorta: Report of two cases. Acta radiol 1955; 44(2): 121-8.
[http://dx.doi.org/10.3109/00016925509170790]
[15]
Stevens GM. Buckling of the aortic arch (pseudocoarctation, kinking): A roentgenographic entity. Radiology 1958; 70(1): 67-73.
[http://dx.doi.org/10.1148/70.1.67] [PMID: 13506062]
[16]
Quain R. Partial contraction of the abdominal aorta. Trans Path Soc London 1847; 1: 244-5.
[17]
Lavin N, Mehta S, Liberson M, Pouget JM. Pseudocoarctation of the aorta: An unusual variant with coarctation. Am J Cardiol 1969; 24(4): 584-90.
[http://dx.doi.org/10.1016/0002-9149(69)90506-2] [PMID: 5811542]
[18]
Son JS, Hong KB, Chung DCW. Pseudocoarctation of the aorta associated with the anomalous origin of the left vertebral artery: A case report. Korean J Radiol 2008; 9(3): 283-5.
[http://dx.doi.org/10.3348/kjr.2008.9.3.283] [PMID: 18525233]
[19]
Albayram S, Gailloud P, Wasserman BA. Bilateral arch origin of the vertebral arteries. AJNR Am J Neuroradiol 2002; 23(3): 455-8.
[PMID: 11901018]
[20]
Barry A. The aortic arch derivatives in the human adult. Anat Rec 1951; 111(2): 221-38.
[http://dx.doi.org/10.1002/ar.1091110207] [PMID: 14894834]
[21]
Holman E. The obscure physiology of poststenotic dilatation; its relation to the development of aneurysms. J Thorac Surg 1954; 28(2): 109-33.
[http://dx.doi.org/10.1016/S0096-5588(20)30743-1] [PMID: 13184533]
[22]
Robicsek F, Sanger PW, Taylor FH, Magistro R, Foti E. Pathogenesis and significance of post-stenotic dilatation in great vessels. Ann Surg 1958; 147(6): 835-44.
[PMID: 13534253]
[23]
Steinberg I. Anomalies (pseudocoarctation) of the arch of the aorta. Report of 8 new and review of 8 previously published cases. Am J Roentgenol Radium Ther Nucl Med 1962; 88: 73-92.
[PMID: 13916681]
[24]
Wann LS, Sampson C, Liu Y, Dorros G. “Pseudocoarctation” of the aorta. Tex Heart Inst J 1995; 22(1): 107.
[PMID: 7787463]
[25]
Shibata T, Endou H, Shiozu H, Sasaki T, Yasuura K. Pseudocoarctation of the aorta-A case report. Jpn J Med 1990; 29(4): 438-41.
[http://dx.doi.org/10.2169/internalmedicine1962.29.438] [PMID: 2273629]
[26]
Kessler RM, Miller KB, Pett S, Wernly JA. Pseudocoarctation of the aorta presenting as a mediastinal mass with dysphagia. Ann Thorac Surg 1993; 55(4): 1003-5.
[http://dx.doi.org/10.1016/0003-4975(93)90137-7] [PMID: 8466315]
[27]
Safir J, Kerr A, Morehouse H, Frost A, Berman H. Magnetic resonance imaging of dissection in pseudocoarctation of the aorta. Cardiovasc Intervent Radiol 1993; 16(3): 180-2.
[http://dx.doi.org/10.1007/BF02641888] [PMID: 8334690]
[28]
Soler R, Pombo F, Bargiela A, Gayol A, Rodríguez E. MRI of pseudocoarctation of the aorta: Morphological and cine-MRI findings. Comput Med Imaging Graph 1995; 19(5): 431-4.
[http://dx.doi.org/10.1016/0895-6111(95)00021-6] [PMID: 8734782]
[29]
Grigsby JL, Galbraith T, Shurmur S, Deligonul U. Pseudocoarctation of the aorta complicated by saccular aneurysm: Treatment by aortic arch replacement. Am Heart J 1996; 131(1): 200-2.
[http://dx.doi.org/10.1016/S0002-8703(96)90073-3] [PMID: 8554012]
[30]
Woolfson PI, Watson N, Keenan DJM, Cotter L. Left cervical aortic arch associated with pseudocoarctation and aortic and mitral regurgitation: one-stage surgical repair. Eur J Cardiothorac Surg 2001; 19(5): 726-8.
[http://dx.doi.org/10.1016/S1010-7940(01)00654-6] [PMID: 11343964]
[31]
Guhathakurta S, Agarwal R, Borker S, Sharma AK. Chronic dissection of the left subclavian artery with pseudocoarctation. Tex Heart Inst J 2003; 30(3): 221-4.
[PMID: 12959207]
[32]
Mazzola A, Gregorini R, DeCurtis G, Ciocca M. Bilateral axillary artery inflow in the treatment of a rare case of pseudocoartaction of the aortic arch. Interact Cardiovasc Thorac Surg 2007; 6(5): 652-3.
[http://dx.doi.org/10.1510/icvts.2007.158097] [PMID: 17670723]
[33]
Ezhilan J, George T, Khatri P. Left subclavian artery aneurysm presenting as pseudocoarctation on CT angiogram. Indian Heart J 2008; 60(4): 368-9.
[PMID: 19242020]
[34]
Cordeiro F, Silva Carvalho S, Ferreira A, Moreira JI. Aortic pseudocoarctation: A very rare finding. BMJ Case Rep 2018; bcr-2017-222924.
[http://dx.doi.org/10.1136/bcr-2017-222924]
[35]
Arıkan AA, Omay O, Çakır Ö, et al. A pseudocoarctation of the aorta with a left subclavian artery aneurysm, A case report, and a literature review Vasc Endovascular Surg 2021; 55(8): 889-96.
[http://dx.doi.org/10.1177/15385744211022536] [PMID: 34142624]
[36]
Solak Y, Atalay H, Turkmen K, Anil M, Turk S. An incidental finding while investigating secondary hypertension: Severe abdominal aortic pseudocoarctation. NDT Plus 2009; 2(4): 328.
[PMID: 25984029]
[37]
Solak Y, Biyik Z, Ozbek O, Gaipov A. Abdominal aortic pseudocoarctation associated with renal artery occlusion. BMJ Case Rep 2013; 2013: bcr2012007442.
[http://dx.doi.org/10.1136/bcr-2012-007442]
[38]
Nakai H, Shun M, Tanaka H. Successful treatment of hypoplastic aortic arch and pseudocoarctation of the aorta in an octogenarian. Interact Cardiovasc Thorac Surg 2019; 29(1): 150-1.
[http://dx.doi.org/10.1093/icvts/ivy366] [PMID: 30778556]
[39]
Sakurai Y, Koide M, Kunii Y, Tateishi M, Okugi S, Cao Y. Severely kinked pseudocoarctation of the aorta with unicuspid aortic valve. Ann Thorac Surg 2019; 107(6): e421.
[http://dx.doi.org/10.1016/j.athoracsur.2019.01.027] [PMID: 30771328]
[40]
Makani S, Mitchell J, Metton O, Filippo SD, Henaine R, Ninet J. Surgical repair of a pseudocoarctation with cervical aortic arch complicated by multiple aneurysms of the aorta: A case report. Pan Afr Med J 2017; 26: 236.
[http://dx.doi.org/10.11604/pamj.2017.26.236.11800] [PMID: 28690750]
[41]
Arakawa M, Yuri K, Takeuchi T, Okamura H. Thoracic endovascular aortic repair for ruptured pseudocoarctation. J Thorac Cardiovasc Surg 2019; 21(1): 90-117.
[http://dx.doi.org/10.1016/j.jtcvs.2018.09.068]
[42]
Shah V, Shah KD, Dastur KN, Shah RL. Kinking of aortic arch with aneurysmal dilatation. Dis Chest 1966; 50(1): 101-4.
[http://dx.doi.org/10.1016/S0096-0217(15)33030-2]
[43]
Amico A, Michaud JL, Baron O, et al. Pseudocoarctation as cause of a refractory hypertension. J Cardiovasc Med 2007; 8(4): 289-90.
[http://dx.doi.org/10.2459/01.JCM.0000263502.02602.f4] [PMID: 17413308]

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