Successful treatment of hypoplastic aortic arch and pseudocoarctation of the aorta in an octogenarian.

Pseudocoarctation of the aorta is an uncommon congenital condition and cases in octogenarians are rare. The patient was an 83-year-old woman in whom the condition was accidentally detected. Computed tomography showed a hypoplastic aortic arch, pseudocoarctation and descending aortic aneurysm with severe atherosclerotic calcification. We performed the distal arch and the descending aortic replacement with reconstruction of the left subclavian artery using hypothermic circulatory arrest via left posterolateral thoracotomy. Histologically, the aortic tissue showed myxomatous changes. We report a case of successful treatment of the hypoplastic aortic arch and pseudocoarctation of the aorta in an octogenarian.