Page 4 - Virtual Vascular Vol 6

Coarctation of Aorta

A young man with history of aortic
coarctation and spinal scoliosis presented

with cold lower extremities. Coarctation is
a congenital condition whereby the aorta

is narrow, usually in the area where the
ductus arteriosus inserts.

At the age of 7, this patient had a bypass
from the ascending to the descending
thoracic aorta as a procedure to treat his

hypoplastic arch. The CT scan performed
after 20 years showed that the bypass
graft is patent.

Coarctation.mp4

About 60-80% of adult Marfan Syndrome patients eventually de-
velop an aortic root aneurysm. This is a serious condition and the

patient is at risk of Type A Aortic dissection, rupture, aortic valve

incompetence, heart failure and myocardial infarction. This patient
has a huge root aneurysm and should be electively repaired by as-

cending and valve replacement. The AAA can be treated at a sec-

ond stage with open aneurysm repair.

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