Aortic coarctation: angioplasty and stenting of a total occlusion.
A 23-year-old man presented with dyspnoea and a blood pressure of 180/120 mmHg in both arms. Femoral and popliteal pulses were absent and there was a systolic ejection murmur along the left intercostal area.The chest X-ray showed rib notching and a normal cardiac silhouette.Transthoracic echocardiography showed a bicuspid aortic valve with a mild degree of left ventricular dysfunction and an interruption of the aorta 3 cm distally of the left subclavian artery. A 64-slice CT angiography confirmed an interruption with extensive collateral circulation. Angioplasty and implantation of a covered stent were successful. Six months after the procedure, the patient is asymptomatic and without any complication.
Akdemir
Ramazan
R
Dept. of Cardiology, Dişkapi Yildirim Beyazit Research and Education Hospital, Ankara, Turkey. rakdemir@yahoo.com
Agac
Mustafa Tarik
MT
Acar
Zeydin
Z
D000800:Angioplasty, Balloon; D001017:Aortic Coarctation / Q000175:diagnosis* / Q000628:therapy*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D004452:Echocardiography; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D015607:Stents; D014057:Tomography, X-Ray Computed; D055815:Young Adult