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Chest1992; 102(2); 634-635; doi: 10.1378/chest.102.2.634

Equine arch vessel anomaly associated with coarctation of the aorta.

Abstract: Angiography in a 30-year-old man revealed the unique combination of aortic coarctation and an unusual arch anomaly. Proximal to the coarctation, a single arch vessel trifurcated into the brachiocephalic, left common carotid and left subclavian arteries. This anomalous arch vessel is a normal equine variant.
Publication Date: 1992-08-01 PubMed ID: 1643963DOI: 10.1378/chest.102.2.634Google Scholar: Lookup
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Summary

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This study explores a rare cardiovascular condition in a 30-year-old man which shows characteristics normally seen in horses. The condition involves an unusual arch vessel anomaly connected with a constricted aorta.

Research Explanation

  • The main focus of this research is to showcase the unique combination of aortic constriction (coarctation) and an unusual anomaly in the arch vessel found in a 30-year-old man through the process of angiography.
  • The term ‘aortic coarctation’ refers to a medical condition where the aorta (the main blood vessel carrying blood from your heart to your body) is narrower than it should be. This can result in hypertension or high blood pressure, premature coronary artery disease, stroke, and even heart failure.
  • The abnormality suggested in the study demonstrates that a single arch vessel divides or trifurcates into three branches leading to the brachiocephalic, left common carotid, and left subclavian arteries.

Comparison with Equine Variant

  • The researchers also highlight that the arch vessel abnormality is commonly found in horses, making it an ‘equine variant’. In effect, the configuration of the cardiovascular system encountered in this patient is more akin to equine anatomy than human.
  • In horses, a singles arch vessel trifurcating like this is normal. However, within the context of human cardiovascular anatomy, this represents an important ‘anomaly’ or deviation from the norm, with significant implications for the patient’s health.

Contribution to Medical Knowledge

  • The study, therefore, serves as a significant contribution to medical literature due to the rare occurrence of this condition in humans. It may help doctors in better diagnosis and management of similar cases in the future, informing surgical approaches and long-term care strategies for patients dealing with these unusual cardiovascular configurations.

Cite This Article

APA
Hoch DH, Salazar AM, Cabin HS, Young LH. (1992). Equine arch vessel anomaly associated with coarctation of the aorta. Chest, 102(2), 634-635. https://doi.org/10.1378/chest.102.2.634

Publication

ISSN: 0012-3692
NlmUniqueID: 0231335
Country: United States
Language: English
Volume: 102
Issue: 2
Pages: 634-635

Researcher Affiliations

Hoch, D H
  • Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
Salazar, A M
    Cabin, H S
      Young, L H

        MeSH Terms

        • Abnormalities, Multiple / diagnosis
        • Adult
        • Aorta, Thoracic / abnormalities
        • Aorta, Thoracic / diagnostic imaging
        • Aorta, Thoracic / pathology
        • Aortic Coarctation / diagnosis
        • Cardiac Catheterization
        • Coronary Angiography
        • Humans
        • Magnetic Resonance Imaging
        • Male

        Citations

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