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Image in Cardiology
Assessment of interrupted aortic arch with magnetic resonance angiography
A avaliação do arco aórtico interrompido por angiografia com ressonância magnética
Fahri Halit Besira,
Corresponding author
drfhbesir@gmail.com

Corresponding author.
, Yasemin Turkerb, Yasin Turkerc, Omer Onbasa
a Duzce University School of Medicine, Department of Radiology, Duzce, Turkey
b Duzce Family Medicine Center, Duzce, Turkey
c Duzce University, Medicine School, Department of Cardiology, Duzce, Turkey
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 22-year-old man was referred to our cardiology department for investigation of hypertension&#46; At presentation his blood pressure was 170&#47;100 mmHg in both arms&#44; and heart rate was 74 beats&#47;min&#46; The pulses were equal over both upper extremities&#44; but bilateral femoral and popliteal pulses were extremely weak and the dorsalis pedis and anterior tibial pulses were not palpable&#46; His past history was unremarkable except for hypertension&#46; There was a II&#47;VI systolic ejection murmur in the left second intercostal area and left scapular region in the back&#46; Transthoracic echocardiography showed concentric left ventricular hypertrophy with normal ventricular function&#46; Magnetic resonance &#40;MR&#41; angiography showed interruption of the descending aorta after the branching of the left subclavian artery &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; Dilated intercostal&#44; intramammary and thoracodorsal arteries with accompanying anastomosis between the intercostal and thoracodorsal arteries were observed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Interrupted aortic arch is defined as a complete luminal and anatomic discontinuity between the ascending and descending aorta&#46; It is a rare and severe congenital heart defect with a very poor prognosis without surgical treatment&#46; Conventional angiography is considered the gold standard and is frequently used in vascular imaging&#46; However&#44; MR imaging with excellent anatomic and functional capabilities can be performed easily&#44; and with advances in imaging technology&#44; acquiring information comparable to that of conventional angiography has become feasible&#46; MR can also be used to assess the vascular anatomy from several views with maximum intensity projection reconstructions&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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ISSN: 21742049
Original language: English
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Revista Portuguesa de Cardiologia (English edition)
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