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November 29, 1965

Coarctation of the Aorta With Poststenotic Aneurysm in a 71-Year-Old Man

Author Affiliations

From the Department of Pathology, School of Medicine, University of North Dakota, Grand Forks.

JAMA. 1965;194(9):1017-1018. doi:10.1001/jama.1965.03090220073027

AT AUTOPSY, a 71-year-old man who had died of pneumonia was found to have severe coarctation of the aorta, with concomitant hypertrophy of the collateral vessels and a poststenotic aneurysm. Since there have been very few recorded cases of coarctation of the aorta in patients surviving to this age, this case was thought to be worth reporting.

Report of a Case  A 71-year-old Mexican man was admitted to the hospital for the first time with complaint, by relatives, of extreme weakness of two years' duration and fever of recent onset. History from the patient was unobtainable as he was moribund. His temperature was 103 F (39.4 C) and blood pressure, 200/80 mm Hg. Rales were heard bilaterally. A chest film taken with a portable unit showed a mass in the region of the thyroid, a calcified mass in the left hilum, and rib notching. He died, in spite of receiving