Pulseless Four Extremities: Atypically Located Coarctation With Concomitant Aberrant Right Subclavian Artery

Abstract

An unusual case of pulseless four extremities caused by atypically located critical coarctation of aorta with aberrant right subclavian artery in a 21 year old patient without any symptom for years such as syncope is presented. The patient’s aortography demonstrated severe coarctation proximal to the left subclavian artery, accompanied by aneurysm formation and aberrant right subclavian artery. This case report describes the successful diagnosis of the interesting patient mentioned above and the surgical complete correction procedure. Patient was discharged uneventfully after 12 days of follow-up with palpable pulses and no neurological complications.