Short-Segment Type B Interrupted Aortic Arch Presenting With Subarachnoid Hemorrhage With Subsequent Primary Percutaneous Repair

Abhinay Ramachandran; Michael Argilla; Sunil Saharan; Dan Halpern; Adam Small

doi:10.1016/j.jaccas.2021.07.022

Short-Segment Type B Interrupted Aortic Arch Presenting With Subarachnoid Hemorrhage With Subsequent Primary Percutaneous Repair

JACC Case Rep. 2021 Oct 20;3(14):1607-1609. doi: 10.1016/j.jaccas.2021.07.022.

Authors

Abhinay Ramachandran¹, Michael Argilla², Sunil Saharan², Dan Halpern³, Adam Small³

Affiliations

¹ Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.
² Division of Pediatric Cardiology, Department of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
³ Adult Congenital Heart Disease, Division of Cardiology, Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.

Abstract

This report describes a young adult man presenting with subarachnoid hemorrhage secondary to an intracranial aneurysm who was found to have a short-segment type B interrupted aortic arch. We describe the clinical presentation, evaluation, and management of this patient and highlight imaging findings and percutaneous repair of the aneurysm and interrupted aortic arch. (Level of Difficulty: Intermediate.).

Keywords: 3-dimensional imaging; CTA, computed tomography angiography; IAA, interrupted aortic arch; LV, left ventricular; LVH, left ventricular hypertrophy; TTE, transthoracic echocardiography; aortic coarctation; computed tomography; congenital heart defect; imaging.