Kinking of the Aortic Arch (Pseudocoarctation)
Authors: WILLIAM K. NASSER
Journal: Annals of Internal Medicine (1966)

Article1 May 1966Kinking of the Aortic Arch (Pseudocoarctation)Clinical, Radiographic, Hemodynamic, and Angiographic Findings in Eight CasesWILLIAM K. NASSER, M.D., CHARLES HELMEN, M.D.WILLIAM K. NASSER, M.D.Search for more papers by this author, CHARLES HELMEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-5-971 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis rare and peculiar anomaly of the aortic arch has been reported sporadically in the literature in recent years. Although it usually represents a characteristic radiologic deformity, it is not as yet widely recognized by either the clinician or radiologist.Historically, the first reference to ectasia and elongation of the thoracic aorta was made by Rösler and White (1) in 1931. It was not until 1951 that Souders, Pearson, and Adams (2) described the clinical features of "subclinical coarctation" in three patients. The roentgenologic deformity in one of the patients was interpreted as Hodgkin's disease with involvement of the left...References1. RÖSLERWHITE HPD: Unusual variations of roentgen shadow of elongated thoracic aorta. Amer. Heart J. 6: 768, 1931. CrossrefGoogle Scholar2. SOUDERSPEARSONADAMS CRCMHD: Aortic deformity simulating mediastinal tumor: subclinical form of coarctation. Dis. Chest 20: 35, 1951. CrossrefMedlineGoogle Scholar3. DOTTERSTEINBERG CTI: Angiocardiography in congenital heart disease. Amer. J. Med. 12: 219, 1952. CrossrefMedlineGoogle Scholar4. ROBB GP: Atlas of Angiocardiography. American Registry of Pathology, Washington, D. C., 1951, p. 86. Google Scholar5. DIGLUGLIELMOGUTTADAURO LM: Kinking of aorta: report of 2 cases. Acta Radiol. 44: 121, 1955. CrossrefMedlineGoogle Scholar6. STEVENS GM: Buckling of aortic arch (pseudocoarctation, kinking): roentgenographic entity. Radiology 70: 67, 1958. CrossrefMedlineGoogle Scholar7. EDMUNDSMCCLENATHANHUFNAGEL LHJECA: Subclinical coarctation of the aorta. Ann. Surg. 156: 180, 1962. CrossrefMedlineGoogle Scholar8. GRIFFIN JF: Congenital kinking of the aorta (pseudocoarctation). New Eng. J. Med. 271: 726, 1964. CrossrefMedlineGoogle Scholar9. STEINBERG I: Anomalies (pseudocoarctation) of the arch of the aorta: report of 8 new and review of 8 previously published cases. Amer. J. Roentgen. 88: 73, 1962. Google Scholar10. SARICVULETICGVOZDANOVICMARK SVVB: Case of kinking of aortic arch. Circulation 21: 1147, 1960. CrossrefMedlineGoogle Scholar11. BERRYGRIFFITHTEMPLETON REJRJY: Kinking of the aorta. Amer. Surg. 29: 65, 1963. Google Scholar12. PATTINSONGRAINGER JNRG: Congenital kinking of aortic arch. Brit. Heart J. 21: 555, 1959. CrossrefMedlineGoogle Scholar13. DESAI MG: Widened and kinked descending part of the thoracic aorta simulating intrathoracic tumor. Brit. J. Radiol. 30: 391, 1957. CrossrefMedlineGoogle Scholar14. BRUWERBURCHELL AJHB: Kinking of the aortic arch simulating mediastinal tumor. Ibid., p. 387. Google Scholar15. BRUWERPUGH AJDG: Neglected roentgenologic sign of coarctation of the aorta. Proc. Mayo Clin. 27: 377, 1952. MedlineGoogle Scholar16. STEINBERGHAGSTROM IJW: Congenital aortic valvular stenosis and pseudocoarctation ("kinking, buckling") of the arch of the aorta: report of four cases including autopsy study on one case with parietal endocardial fibrosis and fibroelastosis. Circulation 25: 545, 1962. CrossrefMedlineGoogle Scholar17. GUDBJERGPETERSEN CEO: Coarctation of the aorta. Relation between roentgenologic and hemodynamic findings. Radiology 75: 399, 1960. CrossrefMedlineGoogle Scholar18. STEINBERG I: Aneurysm of aortic sinuses with pseudocoarctation of aorta. Brit. Heart J. 18: 85, 1956. CrossrefMedlineGoogle Scholar19. BARRETTVERNEY AFGI: Kinking of the aortic arch associated with fusiform aneurysmal dilation. Clin. Radiol. (London) 11: 106, 1960. CrossrefMedlineGoogle Scholar20. BRUWERBURCHELL AJHB: Kinking of aortic arch (pseudocoarctation, subclinical coarctation). JAMA 162: 1445, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Indianapolis, IndianaFrom the Department of Medicine, Division of Cardiology, Department of Radiology, and the Heart Research Center, Indiana University School of Medicine, and the Krannert Heart Research Institute, Marion County General Hospital, Indianapolis, Ind.This study was supported in part by the Herman C. Krannert Fund, the Indiana Heart Association, Indianapolis, Ind., by training grant 5363 from the U. S. Public Health Service, Washington, D. C., and by facilities provided by Cardiovascular Clinical Research Center grant H-6308 from the National Heart Institute, National Institutes of Health, Bethesda, Md.Dr. Nasser is a National Institutes of Health Trainee.Requests for reprints should be addressed to William K. Nasser, M.D., Indiana University Medical Center, 1100 W. Michigan St., Indianapolis, Ind. 46207. 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