Presentation
Leg claudication.
Patient Data
Age: 25 years
Gender: Male
From the case:
Aortic coarctation - ductal
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The CTA demonstrates:
- short segment abrupt stenosis of the post-ductal aorta, 30 mm distal from the left subclavian artery with mild dilatation of the post-stenotic descending aorta
- marked enlargement of the intercostal, bronchial, and internal mammary arteries
- rib notching at several levels
- left ventricular hypertrophy
- no mediastinal or hilar lymphadenopathy
- no pleural or pericardial effusion
- no lung lesion (lung window not shown)
From the case:
Aortic coarctation - ductal
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The red arrows indicate the level of the ligamentum arteriosum.
Case Discussion
CTA of an aortic coarctation at the height or just distal to ligamentum arteriosum with marked dilatation of the intercostal, bronchial, and internal mammary arteries, rib notching at several levels and left ventricular hypertrophy.
Additional contributor: Houssam Kouachi, radiographer, CIM Aurès, Batna
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