Pseudocoarctation of the aorta

Case contributed by Dr Itziar Oronoz Mitxelena

Presentation

Patient with arterial hypertension. Incidental finding on CT study.

Patient Data

Age: 50 years
Gender: Male
X-ray

Inconspicuous aortic arch on frontal view.

Elevated right hemidiaphragm perhaps representing eventration.

CT

Elongation of the descending aorta, with a buckling at the level of the ligamentum arteriosum, distal to the origin of the left subclavian artery.

Case Discussion

Pseudocoarctation of the aorta is a congenital and rare anomaly, shown as a kinking of the descending thoracic aorta, at the level of the ligamentum arteriosum. This is an asymptomatic anomaly with no obstruction, significant pressure differences, or collateral vascularisation (thus no rib notching). 

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Case information

rID: 56271
Published: 24th Oct 2017
Last edited: 28th Oct 2017
System: Vascular
Inclusion in quiz mode: Included
Institution: Hospital Universitari de Bellvitge

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