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[Atresia of the aortic arch. A rare cause of asymmetrical arterial hypertension in adulthood].
- Source :
-
Deutsche medizinische Wochenschrift (1946) [Dtsch Med Wochenschr] 1996 May 31; Vol. 121 (22), pp. 719-22. - Publication Year :
- 1996
-
Abstract
- History and Clinical Findings: A 58-year-old man, previously resident in Russia, was known since the age of 18 years to have arterial hypertension of unknown cause in only the right arm. A single syncope was the only previous symptom. On examination the pressure was 230/110 mmHg in the right arm, 150/100 mmHg in the left one. The pulse in the right arm and neck was strong and heaving, that in the left arm and the legs much more weakly palpable.<br />Investigations: Electrocardiogram and echocardiogram showed left ventricular hypertrophy. The chest radiogram demonstrated rib notching. Digital subtraction angiography revealed aortic arch atresia just distal to the common carotid artery. No other cardiovascular abnormalities were found.<br />Treatment: The patient declined operative treatment. Cautious antihypertensive drug treatment with Atenolol (25 mg daily) reduced the pressure in the right arm to 180/90 mmHg.<br />Conclusion: This rare malformation of aortic arch atresia should be considered in the differential diagnosis of asymmetrical arterial hypertension in an adult.
- Subjects :
- Adrenergic beta-Antagonists administration & dosage
Angiography, Digital Subtraction
Antihypertensive Agents administration & dosage
Aorta, Thoracic diagnostic imaging
Atenolol administration & dosage
Diagnosis, Differential
Electrocardiography
Germany
Humans
Hypertension diagnosis
Hypertension drug therapy
Male
Middle Aged
Russia ethnology
Aorta, Thoracic abnormalities
Hypertension etiology
Subjects
Details
- Language :
- German
- ISSN :
- 0012-0472
- Volume :
- 121
- Issue :
- 22
- Database :
- MEDLINE
- Journal :
- Deutsche medizinische Wochenschrift (1946)
- Publication Type :
- Academic Journal
- Accession number :
- 8646983
- Full Text :
- https://doi.org/10.1055/s-2008-1043060