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Angiology
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A Case of Aortitis Syndrome with Severe Coarctation of the Aorta

Naoto Ashizawa

3rd Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki City, Japan

Shin Suzuki

3rd Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki City, Japan

Masao Kobayashi

3rd Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki City, Japan

Wataru Aoi

3rd Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki City, Japan

Kunitake Hashiba

3rd Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki City, Japan

A 17 year old female with aortitis syndrome was reported. The blood pres sure of upper extremities was 204/88 mmHg which was higher than that of lower extremities (88/mmHg). Chest X ray showed marked rib notchings at the lower border of the right 7th and 8th rib and left 8th ribs. Stenosis of the thoracic aorta was observed at the upper border of the 9th rib and the lower border of the 10th rib with marked development of collateral circulation. After 6 months treatment with steroids, inflammation signs were improved and thick ness of the aorta was decreased which was detected by computed tomography. However, blood pressure was not decreased by the combined antihypertensive treatment.

Angiology, Vol. 36, No. 3, 197-200 (1985)
DOI: 10.1177/000331978503600309


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