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Document Details :

Title: Aortic coarctation: angioplasty and stenting of a total occlusion
Author(s): R. Akdemir , M.T. Agac , Z. Acar
Journal: Acta Cardiologica
Volume: 65    Issue: 4   Date: 2010   
Pages: 467-470
DOI: 10.2143/AC.65.4.2053908

Abstract :
A 23-year-old man presented with dyspnoea and a blood pressure of 180 /120 mmHg in both arms. Femoral and popliteal pulses were absent and there was a systolic ejection murmur along the left intercostal area. The chest X-ray showed rib notching and a normal cardiac silhouette. Transthoracic echocardiography showed a bicuspid aortic valve with a mild degree of left ventricular dysfunction and an interruption of the aorta 3 cm distally of the left subclavian artery. A 64-slice CT angiography confirmed an interruption with extensive collateral circulation. Angioplasty and implantation of a covered stent were successful. Six months after the procedure, the patient is asymptomatic and without any complication.