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Ruptured Aortic Aneurysm Complicating Coarctation of the Aorta

Two Autopsied Cases with Unusual Rupture

The Third Department of Internal Medicine, Nagasaki University, School of Medicine, Nagasaki, Japan

Masazumi Akahoshi

The Third Department of Internal Medicine, Nagasaki University, School of Medicine, Nagasaki, Japan

Morio Kuramochi

The Third Department of Internal Medicine, Nagasaki University, School of Medicine, Nagasaki, Japan

Kunitake Hashiba

The Third Department of Internal Medicine, Nagasaki University, School of Medicine, Nagasaki, Japan

Toshihiro Takagi

Department of Pathology, Atomic Disease Institute, Nagasaki, Japan

Issei Nishimori

Department of Pathology, Atomic Disease Institute, Nagasaki, Japan

Hideyo Itakura

Department of Pathology, Institute for Tropical Medicine, Nagasaki University, Nagasaki, Japan

Two cases of aortic aneurysm complicating aortic coarctation with unusual rupture were reported. The first case is a 66-year-old female with aneurysm of the descending thoracic aorta. The coarctation of the aorta was located at lower thoracic aorta and the aneurysm was formed proxymal to the coarcta tion. The aneurysm protruded backwards being accompanied by osteolysis of ribs and finally ruptured extracorporeally at the left subscapular region. The second case is a 28-year-old male with mycotic aneurysm that occurred im mediately distal to the coarctation of the aorta. Streptococcus viridans was isolated by blood culture. The aneurysm was ruptured to the esophagus. The mechanisms of aneurysm formation in patients with coarctation of the aorta were discussed.

Vascular and Endovascular Surgery, Vol. 17, No. 2, 122-132 (1983)
DOI: 10.1177/153857448301700210


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