Presentation
Chest pain, unspecific
Patient Data
Age: 50 years
Gender: Male
From the case:
Coarctation of the aorta
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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.
From the case:
Coarctation of the aorta
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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.