Faro R S, Weinberg M, Monson D O, Najafi H
Ann Thorac Surg. 1981 Mar;31(3):251-4. doi: 10.1016/s0003-4975(10)60936-8.
Four unusual instances of coarctation of the aorta are presented. Three coarctations were located proximal to the left subclavian artery, and the other was in the normal location with a patent ductus arteriosus and an anomalous distal right subclavian artery. Unusual coarctations can be identified on physical examination on the basis of variations of blood pressure and pulses in the upper extremities. Unilateral rib notching may be noted on chest roentgenogram, and an aortogram can delineate its exact location. Four separate means of surgical repair are described.
本文呈现了四例主动脉缩窄的罕见病例。三例缩窄位于左锁骨下动脉近端，另一例位于正常位置，伴有动脉导管未闭和右锁骨下动脉远端异常。根据上肢血压和脉搏的变化，体格检查可发现罕见的主动脉缩窄。胸部X线片可能显示单侧肋骨切迹，主动脉造影可明确其确切位置。文中描述了四种不同的手术修复方法。
