Presentation
Leg claudication. Chest x-ray not available.
Patient Data
Age: 40 years
Gender: Male
From the case:
Aortic coarctation
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The CTA demonstrates:
short segment abrupt stenosis of the post-ductal aorta, 10 mm distal from the left subclavian artery with moderate dilatation of the post-stenotic descending aorta
the level of the ligamentum arteriosum is best seen on coronal and sagittal oblique reconstruction
enlargement of the intercostal and internal mammary arteries
no evidence of rib notching on the bone window or 3D-VR
left ventricular hypertrophy
no mediastinal or hilar lymphadenopathy
no lung lesion (lung window not shown)
Case Discussion
CTA of an aortic coarctation just distal to ligamentum arteriosum with dilatation of the intercostal and internal mammary arteries.
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