Interrupted Aortic Arch with Down’s Syndrome: A Case Report with Radiological Review
DOI:
https://doi.org/10.53903/01212095.99Keywords:
Aorta, thoracic, Down syndrome, Computed tomography angiography, Heart defects, congenitalAbstract
Introduction: Interrupted Aortic Arch (IAA) is an obstructive anomaly, with a rare frequency of isolated presentation in the general population, being different when it presents concomitance with other cardiac anomalies and / or genetic syndromes such as DiGeorge Syndrome and Down Syndrome. Case report: The case of a newborn with facies characteristic of Down Syndrome, diagnosed with Interrupted Aortic Arch type A, is presented through computed tomography angiography. Discussion: Three types of Interrupted Aortic Arch (IAA) have been described so far, in which a persistent arterial ductus that allows continuity between the pulmonary artery and the descending aorta has been identified as a common feature. There are no reports of diagnostic algorithm for the detection of this pathology, but it has been studied using 2D echocardiography, computed tomography angiography (CT) and magnetic resonance imaging (MRI). Its definitive treatment is surgical. Conclusion: A case report of the interruption of the aortic arch is presented with a comprehensive review of the literature that correlates with radiological images, to cause an impact on the generation of knowledge of said pathology, which allows for a timely diagnosis, strengthens our medical behavior. and leads to better management of medical resources.
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Hofbeck M, Deeg K, Rupprecht T. Interruption of the aortic arch. En: Hofbeck M, Deeg K, Rupprecht T. Doppler echocardiography in infancy and childhood. Suiza: Springer; 2017. pp. 297-308.
Garcés Garcés J, Cortez Flores P, Gordillo Tobar L, et al. A case never reported before: bilateral type A interruption in a double aortic arch without persistent ductus arteriosus. Cardiovasc Metabolic Sci. 2019;30(2):60-5.
Haberman D, Gurfinkel E, Beresñak A, et al. Anomalías congénitas de la arteria aorta. Evaluación mediante tomografía computada multicorte en neonatos y niños. Rev Arg Radiol. 2009;73(3):284-5.
Khaladkar S, Chaudhary K, Kuber R, et al. Interrupted aortic arch by multi‑detector computed tomography angiography: A case report with radiological review. CHRISMED J Health Res. 2016;3(1):83-6.
Freeman SB, Taft LF, Dooley KJ, et al. Population-based study of congenital heart defects in Down syndrome. Am J Med Genet. 1998;80(3):213-7.
Torfs C, Christianson R. Anomalies in Down syndrome individuals in a large population-based registry. Am J Med Genet. 1998;77(5):431-8.
Reardon MJ, Hallman GL, Cooley DA. Interrupted aortic arch: Brief review and summary of an eighteen‑year experience. Tex Heart Inst J. 1984;11(3):250‑9.
Kimura-Hayama ET, Meléndez G, Mendizábal AL, et al. Uncommon congenital and acquired aortic diseases: role of multidetector CT angiography. Radiographics. 2010;30(1):79-98.
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