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May 1959

Elongate Coarctation of the Aorta

Author Affiliations

From the Presbyterian and Cook County Hospitals.

AMA Arch Surg. 1959;78(5):759-765. doi:10.1001/archsurg.1959.04320050090014

Four patients have undergone surgery for the treatment of elongate coarctation of the aorta during the past 10 years at either the Cook County or the Presbyterian Hospital of Chicago. We are presenting the salient features in these cases.

Report of Cases 

Case 1.  —A 22-year-old Mexican woman was admitted to the hospital because of exertional dyspnea and precordial pain, which had been present since childhood. She also complained of headaches, dizziness, and numbness in her legs. Examination revealed blood pressures of 160/110 and 290/130 mm. Hg in the right and left arms, respectively. There were no pulses or blood pressure obtainable in the legs. The heart was enlarged to the left, and there were a systolic murmur and a thrill over the precordium. Aortography performed by retrograde technique through the femoral artery demonstrated an extremely long, irregular coarctation (Fig. 1). Exploration was done in the hope

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