Intracranial aneurysms associated with unsuspected aortic coarctation: Report of three cases and review of the literature
Por:
Mercado R., López S., Cantú C., Sanchez A., Revuelta R., Gómez-Llata S., Bouffard J.A., Pineda C.
Publicada:
1 ene 2002
Resumen:
Intracranial aneurysms (IAs) are found more often in patients with aortic coarctation (AC) than in the general population and aneurysm rupture occurs much earlier in the lives of these patients when there is coexistent AC. The diagnosis of AC is frequently made only after a serious cerebrovascular complication has developed. The aim of this paper is to call attention to AC in patients presenting with aneurysmal subarachnoid hemorrhage. The literature is reviewed, the key clinical features are highlighted, and the proposed pathogenesis of this association is discussed. The authors present clinical information and imaging data obtained in three young patients with ruptured IAs that were associated with initially unnoticed AC. Abnormal results of cardiovascular examinations led the authors to consider an underlying AC, which was later confirmed by aortography. These aneurysms were successfully treated prior to correction of the ACs. The diagnosis of AC should be considered in adolescent and young adult patients presenting with IAs.
Filiaciones:
Mercado R.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
López S.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Cantú C.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Sanchez A.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Revuelta R.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Gómez-Llata S.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Bouffard J.A.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
Pineda C.:
Department of Rheumatology, Inst. Nac. Cardiol. Ignacio Chavez, Juan Badiano # 1, 14080 Mexico City, Mexico
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