A Pseudocoarctation of the Aorta With a Left Subclavian Artery Aneurysm, A Case Report and A Review of the Literature

Vasc Endovascular Surg. 2021 Nov;55(8):889-896. doi: 10.1177/15385744211022536. Epub 2021 Jun 18.


Here we present a 47-year-old male diagnosed with a pseudocoarctation of the aorta and a funnel-like subclavian artery aneurysm with a large orifice and severe aortic valve insufficiency. The patient underwent a two-stage repair for both pathologies. After an aortic valve replacement, postcardiotomy pericardial effusion occurred and was medically managed. Six months later, the patient underwent a distal arcus aorta and subclavian artery replacement with a left posterolateral thoracotomy as the second stage. Due to the strict adhesions, pulmonary veins were not cannulated and an extracorporeal bypass between the pulmonary artery and femoral artery was used for distal body perfusion. The coincidence of subclavian aneurysms and a pseudocoarctation of the aorta is rare and a literature review was performed to identify treatment options for this pathology.

Keywords: buckling; kinking; pseudocoarctation; subclavian artery aneurysm; thoracic aorta.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm* / complications
  • Aneurysm* / diagnostic imaging
  • Aneurysm* / surgery
  • Aorta
  • Aorta, Thoracic
  • Aortic Aneurysm, Thoracic*
  • Aortic Coarctation* / complications
  • Aortic Coarctation* / diagnostic imaging
  • Aortic Coarctation* / surgery
  • Humans
  • Male
  • Middle Aged
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / surgery
  • Treatment Outcome