Her muscle strength was normal at 5/5 in both upper extremities, but absent at 0/5 in both lower extremities. She had no sensation to pain or light touch below the xiphoid process. Her blood pressure was 165/88 mmHg in the upper extremities, and 94/59 mmHg in the lower extremities. She had no tremor or cyanosis in her distal extremities. Her heart rate was 62 beats/min with a regular rhythm and no heart murmurs. On physical examination, she was conscious but nuchal rigidity was noted. She had a history of hypertension for 13 years, and she had previously undergone two caesarean deliveries because of uncontrolled hypertension. We herein describe one such case that we successfully treated using a Gore-Tex® graft to surgically bypass the aortic interruption.Ī 29-year-old woman with a history of hypertension and previous subarachnoid hemorrhage 1 month ago was referred to our neurosurgical department because of symptoms including headache, vomiting, fecal and urinary incontinence, and paraplegia for 9 h on December 2, 2011. Interruption of the descending aorta is a rare great vessel malformation, and a case including complications of acute paraplegia and subarachnoid hemorrhage is even more unusual. One-stage repair including anastomosis for the aortic arch reconstruction and repair of all coexisting intracardiac defects is considered the treatment of choice. Type C: aortic interruption occurs between the innominate artery and the left common carotid artery. Type B: aortic interruption occurs between the left common carotid artery and the left subclavian artery. Type A: aortic interruption occurs distal to the left subclavian artery. Interrupted aortic arch is a rare, severe congenital heart defect defined as a complete loss of luminal and anatomic continuity between ascending and descending aorta, representing approximately 1 % of congenital heart disease, including 3 types as follows.
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