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| Search Results for => Coarctation <= Result Items 1 - 20 |
| Case ID: 13730 Sample Image  Click to View  |  ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | 11 y.o. girl with systemic hypertension and a murmur. | |
| Findings | The thoracic aorta is notable for high-grade Coarctation with post-stenotic dilatation. The level of the stenosis is 2.5 cm distal to the take off of an otherwise enlarged left subclavian artery. Multiple enlarged collateral vessels are identified, including bilateral internal mammary, intercostal, and subphrenic arteries. The branch vessels are all patent. | |
| Differential Dx | •Aortic dissection •Coarctation of the aorta •Focal vasculitis •Extrinsic mass pressing on the aorta | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Joseph P Marquardt :: Naval Medical Center San Diego -  | |
| Reviewer | Daniel Hawley :: Naval Medical Center San Diego - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 13684 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | The patient is a 13-year-old boy who was found on a school physical to have upper extremity hypertension. Occasional history of syncope. No smokers in the home and nutrition seemed adequate. No family history of heart disease was provided. | |
| Findings | There is a tight aortic Coarctation with interruption of flow of the aorta, located 2.5 cm distal to the origin of the left subclavian artery. There is extensive collateralization of intercostal, internal thoracic and thyrocervical trunk branches that fill the descending aorta. 1. Tight aortic Coarctation with interruption of flow. 2. Extensive collateralization supplying the descending aorta. 3. bicuspid aortic valve, which demonstrates no evidence of regurgitation or stenosis. 4. Abberant retroaortic circumflex coronary artery. | |
| Differential Dx | • Coarctation of the Aorta • Tubular hypoplasia • Aortic atresia • True aortic interruption | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Eric Jones :: University of Kentucky - | |
| Reviewer | Michael A Winkler :: University of Kentucky - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 13385 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Aortic Coarctation | |
| History | 34 y/o postpartum female with known pelvic abscesses | |
| Findings | Narrowing of aortic caliber near the region of the ligamentum arteriosus Origin of left subclavian artery from left vertebral artery | |
| Differential Dx | PseudoCoarctation, Post traumatic pseudoaneurysm, Takayasu's arteritis | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | John William Jaco :: National Capital Consortium - | |
| Reviewer | Albert V Porambo :: Civilian Medical Center - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 11141 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | 11 year old girl with upper extremity hypertension and absent palpable pulses in the bilateral lower extremities. | |
| Findings | PA and lateral chest radiographs demonstrate normal cardiomediastinal size and borders as well as clear lungs. Multiple sagittal oblique MR images of the chest demonstrate a discrete circumferential shelf-like Coarctation of the descending aorta 2.7 cm from the origin of the left subclavian artery. Turbulent flow is demonstrated just distal to the stenosis, and there is mild dilation of the ascending aorta. No other cardiac anomalies were present on the examination. No significant colateralization was appreciated. | |
| Differential Dx | Discrete Coarctation of the descending aorta | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Jeremiah R Long :: Walter Reed National Military Medical Center - | |
| Reviewer | Vince Ho, M.D., M.B.A. :: Uniformed Services University - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 9507 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | 14 year old male with chronic shortness of breath | |
| Findings | PA view of the chest demonstrates an abnormal contour to the aortic knob, with a focal indentation, with prominence of the descending aorta distal to this region. Axial contrast-enhanced CT examination of the chest demonstrates a focal narrowing of the aorta just distal to the ostium of the left subclavian artery with post-stenotic dilation of the descending thoracic aorta, consistent with Coarctation of the aorta. Note also the enlarged collateral vessels in the internal mammary and subcostal distributions. | |
| Differential Dx | Coarctation of the aorta | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Pil Kang :: Uniformed Services University - | |
| Reviewer | William R Carter, M.D. :: National Naval Medical Center Bethesda - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 7985 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Aortic Coarctation repair; postsurgical imaging | |
| History | 14 year-old female status post aortic Coarctation repair. | |
| Findings | Repaired Coarctation of the Aorta. Four contiguous double inversion recovery fast spin echo magnetic resonance (MR) images in LAO (”candy cane”) projection show an area of narrowing at the level of the proximal descending thoracic aorta, the site of the patient’s surgical repair. At the point of maximal narrowing, the aorta measures 13mm. Bright blood (SSFP) MR images in LAO and a tangential oblique coronal plane through the region of the Coarctation repair shows no evidence of a flow jet, which if present suggests a hemodynamically significant Coarctation. Bright blood (fast GRE) MR image in LAO projection shows no evidence of a flow jet. | |
| Differential Dx | Coarctation repair (history known, no differential diagnosis list necessary) | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Jason Rexroad :: Civilian Medical Center - | |
| Reviewer | Vince Ho, M.D., M.B.A. :: Uniformed Services University - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 7944 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | aortic Coarctation | |
| History | Hypertension | |
| Findings | Maximum intensity projection sagittal MRI through the aortic arch demonstrates a focal narrowing of the aorta just distal to the left subclavian artery take-off. No other cardiac abnormalities were identified. | |
| Differential Dx | Coarctation of the Aorta PseudoCoarctation | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Shephard S. Kosut :: Walter Reed Army Medical Center - | |
| Reviewer | Vince Ho, M.D., M.B.A. :: Uniformed Services University - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 7808 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation | |
| History | This case is based on a 3 year old female who at the age of 18 months underwent surgical resection with end-to-end repair of a mild preductal Coarctation of the aorta just proximal to the left subclavian artery take-off. | |
| Findings | The study revealed a standard three-vessel arch with the brachiocephalic artery being the first great vessel, the left common carotid being the second vessel, and the left subclavian artery being the third vessel. Just proximal to the takeoff of the left subclavian artery is a significant web across the lumen of the aortic. This aortic web is seen to cause significant obstruction of flow through the aorta. A momentary delay was seen before blood flow was seen distal to the obstruction. A central post-stenotic jet was seen traveling through the thoracic aorta to below the level of the diaphragm. No obvious collateral blood vessels are noted throughout the thoracic aorta. No other cardiac abnormalities were identified. | |
| Differential Dx | Recurrent Coarctation / restenosis at the site of the procedure. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Jason T Scism :: Madigan Army Medical Center - | |
| Reviewer | Stephen M. Yoest :: Madigan Army Medical Center - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 6311 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | 45 yo male with prior history of repair of Coarctation of the aorta at 18 months of age now with decreased distal lower extremity pulses. | |
| Findings | Axial CT angiogram with oblique sagital reconstructions of aortic arch. There is focal narrowing of the aorta just distal to the takeoff of the left subclavian artery in the juxtaductal region. | |
| Differential Dx | Status-post repair of a juxtaductal Coarctation of the aorta with residual narrowing at the repair site. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | William A Mercanti :: National Capital Consortium - | |
| Reviewer | Vince Ho, M.D., M.B.A. :: Uniformed Services University - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| Case ID: 5483 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Coarctation of the Aorta | |
| History | 10 year-old with known cardiovascular anomaly. | |
| Findings | A short segment narrowing of the aorta is seen just distal to the left subclavian artery origin. Cine MR images demonstrated a flow jet was noted eminating from the Coarctation, which is consistent with a hemodynamically significant gradient. | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | James H Chang :: National Capital Consortium - | |
| Reviewer | Vince Ho, M.D., M.B.A. :: Uniformed Services University - Case Accepted: 2010-09-16 10:07:49-04 :: Revised: :: Submitted: | |
| 10 Search Results for => Coarctation <= Result Items 1 - 20 |
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