| Acquired atheromatous coarctation of the aortic arch. | |
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MedLine Citation:
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PMID: 21307971 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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A 58-year-old woman with a past medical history significant for tobacco use presented with shortness of breath. Physical examination revealed a 30 mm Hg difference in upper-extremity blood pressures (right arm greater than left), elevated jugular venous pressure, and leg edema. A two-dimensional echocardiogram revealed an ejection fraction of 20%. During angiography a heavily calcified lesion was noted in the aortic arch, across which a significant gradient was measured. Computed tomographic scanning identified a focal calcified area in the aortic arch and diffuse atherosclerosis elsewhere. Acquired thromboatheromatous coarctation of the aorta is an uncommon entity found in patients who smoke and are hypertensive. It is almost always seen in conjunction with severe peripheral vascular disease, which this patient had. She was started on heart failure therapy and referred for surgical repair. |
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Authors:
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Vikram S Nijjar; Murtuza Ali; Neeraj Jain; Vijay Jaligam; D Luke Glancy |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Proceedings (Baylor University. Medical Center) Volume: 24 ISSN: 0899-8280 ISO Abbreviation: Proc (Bayl Univ Med Cent) Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-02-10 Completed Date: 2011-07-14 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 9302033 Medline TA: Proc (Bayl Univ Med Cent) Country: United States |
Other Details:
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Languages: eng Pagination: 15-6 Citation Subset: - |
Affiliation:
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Louisiana State University Health Science Center, New Orleans, Louisiana. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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