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Coarctation of Aorta Dilated with a Stent


  Case radiograph

Contributor: Mohamed Hamdan, MD
 

Other imaging & studies


Lateral rad Lateral rad

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Comments

32 y/o female diagnosed with coarctation of the aorta having presented with a murmur and mild systolic hypertension. Blood pressure (in right arm) was 145/85, (in left leg, systolic was 105). ECG was normal. Echo showed a 33 mmHg gradient across the coarctation with mild diastolic continuation. MRI showed narrowing in the aorta 2.5 cm distal to the left subclavian artery with post-stenotic dilation. The patient subsequently had a Palmaz 308 stent placed, reducing the gradient from 20 mmHg to 0.

Stent placement is considered by some the treatment of choice to replace surgery in older children and adults with coarctation. Studies have shown excellent results in the short and intermediate term.

More on stents for coarctation...


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