Abstract

AORTIC ANEURYSM is a complication of coarctation of the aorta. Abbott's classic autopsy studies revealed that 39 of 200 cases with coarctation of the aorta had an associated aortic aneurysm.<sup>1</sup>Reifenstein and his associates reviewed 104 additional autopsies on patients who had died with this defect; an associated aneurysm was present in 24.<sup>2</sup>In other studies, aneurysms were found to occur in conjunction with coarctation in approximately 7% to 23% of cases reported.<sup>3,4</sup>In addition to the usual thoracic aortic aneurysm, Skandalakis and his associates found, in a total of 106 patients with coarctation of the aorta, 9 cases of aneurysms of the sinus of Valsalva, 12 aneurysms of the intercostal arteries, and 6 of extra-thoracic arteries.<sup>5</sup>These extra-thoracic aneurysms involve the bronchial artery, superior mesenteric artery, innominate artery, vertebral and rarely the common-iliac artery. This review also reports that 14 patients had multiple aneurysms.<sup>5</sup>

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