The Annals of Thoracic Surgery, Vol 42, 210-212, Copyright © 1986 by The Society of Thoracic Surgeons
Coarctation of the midaortic arch presenting with monoparesis
SE Stred, CJ Byrum, EL Bove and M Oliphant
A 6 1/2-month-old infant was seen with right-arm monoparesis, right upper
extremity hypertension, and findings of a coarctation located in the
midaortic arch between the innominate and left common carotid arteries.
Associated left cerebral atrophy (Dyke-Davidoff syndrome) was documented by
computed tomography. Excision of the coarctation segment with primary
repair of the arch and reanastomosis of the left carotid to the innominate
artery was accomplished.