A 9-year-old girl had hypertension in her upper arms, bilateral delay in her femoral pulse, and an abdominal bruit on physical examination. Angiography of the abdominal aorta in the posteroanterior view demonstrated saccular dilatations (aneurysms) and narrowing (coarctation) at the level of lumbar vertebrae 1 and 2. There is osteal narrowing with proximal stenosis of the left renal artery and total occlusion of the right renal artery. A gradient of 30 mm Hg was measured across the narrowed segment of the abdominal aorta.
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.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.
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