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June 1959

Aortic Arch Syndrome: A Report of an Unusual Surgical Complication

AMA Arch Intern Med. 1959;103(6):962-965. doi:10.1001/archinte.1959.00270060114015

In recent years the syndrome of occlusive disease of the major vessels of the aortic arch has appeared with great frequency in the medical literature.1-8 We wish to add the following case, which is unusual because of its surgical complication.

Report of Case  This was the fourth Coral Gables Veterans Administration Hospital admission for this 46-year-old white, married man who presented with the chief complaint of loss of vision in the right eye of 72-hour duration.The patient's present illness began while in the Armed Forces when, at the age of 32, he was hospitalized (March, 1945) for intermittent claudications of both calves associated with easy fatigability. Examination at that time revealed loss of all pulsations below the femorals bilaterally and a markedly diminished left femoral pulsation. The blood pressure was 122/72; no mention was made of carotid or radial pulses. X-ray examination of the abdomen revealed moderate calcification