Stern J, Lander P, Palayew M J
J Can Assoc Radiol. 1979 Mar;30(1):40-5.
Rib notching and the figure-three configuration and the most often cited signs of coarctation of the thoracic aorta in the adult. In our experience, these so-called classic signs are absent in many patients. Abnormalities of the ascending aorta, aortic arch, and superior mediastinum are also major findings and indeed may be the only findings in coarctation. This has not been sufficiently emphasized in standard radiology texts. In order to elucidate these points, we reviewed the chest radiographs of 13 patients with adult-type coarctation of the aorta presenting to the Jewish General Hospital over a 10-year period. In addition, the chest radiographic findings of five patients with pseudocoarctation were compared to those of true coarctation.
肋骨切迹和“3”字征是成人胸主动脉缩窄最常被提及的体征。根据我们的经验，许多患者并无这些所谓的典型体征。升主动脉、主动脉弓和上纵隔的异常也是主要表现，实际上可能是主动脉缩窄的唯一表现。标准放射学教科书中对此并未给予足够重视。为阐明这些要点，我们回顾了10年间在犹太总医院就诊的13例成人型主动脉缩窄患者的胸部X线片。此外，还将5例假性主动脉缩窄患者的胸部X线表现与真性主动脉缩窄患者的进行了比较。
