Presentation
Patient with arterial hypertension. Incidental finding on CT study.
Patient Data
Inconspicuous aortic arch on frontal view.
Elevated right hemidiaphragm perhaps representing eventration.
Elongation of the descending aorta, with a buckling at the level of the ligamentum arteriosum, distal to the origin of the left subclavian artery.
Case Discussion
Pseudocoarctation of the aorta is a congenital and rare anomaly, shown as a kinking of the descending thoracic aorta, at the level of the ligamentum arteriosum. This is an asymptomatic anomaly with no obstruction, significant pressure differences, or collateral vascularization (thus no rib notching).