Coarctation of the aorta

Case contributed by Dr Kamel Mahmoud Alkhateeb

Presentation

Chest pain, unspecific

Patient Data

Age: 50 years
Gender: Male
CT

There is severe coarctation of the aorta just distal to the left subclavian artery at the level of where the ligamentum arteriosum inserts into the descending aorta. Marked enlargement of the intercostal arteries is present, receiving blood from collaterals from the subclavian arteries and supplying blood to the distal aorta.

Atherosclerotic changes seen in pre-coarctation segment.

Annotated image

Annotated images.

Case Discussion

Patient came to follow up his known case of aortic coarctation. He has severe aortic coarctation at the level of the ligamentum arteriosum. The collateral flow developed, thus mitigating the clinical manifestations of decreased perfusion.

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Case information

rID: 86310
Published: 31st Jan 2021
Last edited: 5th Feb 2021
System: Vascular
Inclusion in quiz mode: Included