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Correspondence
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Volume 347:223 July 18, 2002 Number 3
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Aortic Pseudocoarctation

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To the Editor: In their letter about aortic pseudocoarctation as a cause of refractory hypertension, Joseph et al. (March 7 issue)1 describe aortic narrowing by an intraluminal mass associated with a pressure gradient and weak femoral pulses. Unfortunately, these features actually rule out the diagnosis of aortic pseudocoarctation. This asymptomatic entity is characterized by an elongated, redundant thoracic aorta with buckling distal to the origin of the left subclavian artery. Although aortic pseudocoarctation may indeed be associated with systemic hypertension, it is of no hemodynamic importance itself, and in patients with this condition, there is no pressure gradient across the . . . [Full Text of this Article]


Related Letters:

Aortic Pseudocoarctation Causing Refractory Hypertension
Joseph M., Leclerc Y., Hutchison S. J.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:784-785, Mar 7, 2002. Correspondence



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