title: Unusual Repair of Aortic Coarctation: Transcatheter Intervention Implications.
abstract: A 56-year old male was evaluated for exertional dyspnea. He had previously undergone mechanical aortic valve replacement and aortic coarctation repair. Following uncomplicated coronary angiography using Judkins left and right catheters, aortography revealed that the loud murmur was related to an unusual, extra-anatomic surgical repair: transverse aorta to descending aorta bypass. Recognition of an extra-anatomic surgical bypass of coarctation is important, as this repair would leave a continuous murmur on exam.
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Carlisle
authors.affiliation: Emory Heart and Vascular Center at St Joseph's, 5671 Peachtree-Dunwoody Rd, St 300B, Atlanta, GA 30342 USA. adshah7@emory.edu.
authors.forename: Anand D
authors.initials: AD
authors.lastname: Shah
authors.forename: David
authors.initials: D
authors.lastname: Appel
authors.forename: Brian E
authors.initials: BE
authors.lastname: Kogon
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D002406:Catheterization, Peripheral / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods*; D006326:Heart Auscultation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care