Unusual Presentation of Large Aortic Arch Aneurysms Associated with Aortic Coarctation in a 15-Year-Old Girl

The authors present the unusual case of a previously fit and well 15-year-old girl. She developed a hoarse voice and was found to have a heart murmur. On subsequent investigation, she was found to have two large thoracic aortic aneurysms associated with a moderate coarctation. The patient underwent surgical correction through a left thoracotomy, deep hypothermic circulatory arrest, and aneurysm resections. The aortic arch was reconstructed with an interposition graft and re-implantation of the left subclavian artery. Pre-operative and post-operative genetic tests did not reveal the presence of connective tissue disorders. The post-operative course was uneventful. At the one-year follow-up, the patient remained asymptomatic and normotensive without medical treatment.