Robicsek, Francis; Taylor, Frederick H.; Sanger, Paul W.
February 1961
Angiology;Feb1961, Vol. 12 Issue 2, p68
Academic Journal
The authors call attention to the unusual syndrome which consists of spontaneous perforation of the coarcted aorta below the level of the stenosis into the esophagus. A review of literature is given and a ease of their own is presented. In the history of these patients there seems to be a definite pattern. They are usually children between the ages of 6 and 12 years who seek medical attention because of hematemesis, rather than because of their vascular condition. They have classic symptoms of aortic coarctation, and usually they bleed several times before the fatal episode. Most of them have a history of several weeks of bleeding. This indicates that the spontaneous rupture of the poststenotic segment of the aorta is not an incurable condition if diagnosed in time and treated immediately. Therefore, its presence should be suspected in every young person with unexplained hematemesis.


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