Aortic coarctation

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Persistent hypertension

Patient Data

Age: 13 years
Gender: Female
ct

Focal narrowing of the descending thoracic aorta just distal to the left subclavian artery. The heart is not enlarged and there is few collaterals seen in axial cuts and dilatation of the internal mammary artery with anastomosis with epigastric arteries.

Annotated image

Red circle refers to the focal stenotic area while the red arrows refer to the dilated internal mammary artery and epigastric artery forming collateral flow to bypass the stenotic aortic segment.

Case Discussion

Adult type of aortic coarctation where the stenosis is focal and involves the aorta distal to the left subclavian artery.

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