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August 22, 1966

Aneurysm of Common-Iliac Arteries With Coarctation of the Aorta

Author Affiliations

From the Cardiology Section, Department of Medicine (Drs. Segal and Nadkarni), and Department of Surgery (Dr. Bower), Hahnemann Medical College and Hospital. Philadelphia.

JAMA. 1966;197(8):660-662. doi:10.1001/jama.1966.03110080100036

AORTIC ANEURYSM is a complication of coarctation of the aorta. Abbott's classic autopsy studies revealed that 39 of 200 cases with coarctation of the aorta had an associated aortic aneurysm.1 Reifenstein and his associates reviewed 104 additional autopsies on patients who had died with this defect; an associated aneurysm was present in 24.2 In other studies, aneurysms were found to occur in conjunction with coarctation in approximately 7% to 23% of cases reported.3,4 In addition to the usual thoracic aortic aneurysm, Skandalakis and his associates found, in a total of 106 patients with coarctation of the aorta, 9 cases of aneurysms of the sinus of Valsalva, 12 aneurysms of the intercostal arteries, and 6 of extra-thoracic arteries.5 These extra-thoracic aneurysms involve the bronchial artery, superior mesenteric artery, innominate artery, vertebral and rarely the common-iliac artery. This review also reports that 14 patients had multiple aneurysms.5