Original images in heart module

36 year longstanding hypertension

treated  HTN found to be in the 240s without evidence of end organ dysfunction

HTN found to be in the 240s without evidence of end organ dysfunction20 year longstanding hypertension. He was found to have upper abdominal bruit and suspected to have a coarctation

Left ventricular hypertrophy
Normal sinus rhythm

Severe coarct with 3 sign

CT SCOUT RIB Notching and LVH

CT  LVH Left Lateral Thoracic Collateral Arteries

 

CT SCOUT  LVH

CT RIB Notching and LVH

CT Enlarged Left Subclavian Artery Collaterals 

CT Enlarged Left Subclavian Artery Intercostal Collaterals 

CT Enlarged Internal Mammary Arteries  Artery Intercostal Arteries and Inferior Epigastric Artery Collaterals 

CT Enlarged Internal Mammary Arteries
Lateral Thoracic Artery  Collaterals 

CT Region of the Coarctation

 

Collateral Distal to the Coarctation

 

CT CT Distal to the Coarctation and LVH

CT  Region Distal to Coarctation with  Inferior Epigastric Artery Collaterals 

 

Post Stent HAve to add

Plan to book for percutaneous stent to coarct under GA.

Peak gradient 70 mm in the cath lab. 16 x 45 mm stent graft was placed at thoracic coart site