Recoarctation of the Aorta Associated With Ascending Aortic Aneurysm Demonstrated by ECG-Gated Multislice CT
A 54-year-old man had global aphasia and hemiparesis after an acute cerebral embolism. He had undergone unspecified cardiac surgery as a child. An ECG-gated multislice CT study demonstrated dilated aneurysm of the ascending aorta (Figure 1), large internal thoracic arteries (Figures 1, 2⇓A), and a synthetic patch sutured over a kinked luminal narrowing of the aortic isthmus (Figure 2B–C). The diagnosis of combined ascending aortic aneurysm and aortic recoarctation after synthetic patch aortoplasty with good collateralization was made and confirmed by additional MRI (Figure 3). Catheter examination demonstrated good collateralization of the stenosis and a systolic pressure gradient of 30 mm Hg with an average gradient of 13 mm Hg.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
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