Unusual Repair of Aortic Coarctation: Transcatheter Intervention Implications

Adam J Carlisle; Anand D Shah; David Appel; Brian E Kogon

Unusual Repair of Aortic Coarctation: Transcatheter Intervention Implications

J Invasive Cardiol. 2017 Mar;29(3):E41-E42.

Authors

Adam J Carlisle, Anand D Shah¹, David Appel, Brian E Kogon

Affiliation

¹ Emory Heart and Vascular Center at St Joseph's, 5671 Peachtree-Dunwoody Rd, St 300B, Atlanta, GA 30342 USA. adshah7@emory.edu.

PMID: 28255109

Abstract

A 56-year old male was evaluated for exertional dyspnea. He had previously undergone mechanical aortic valve replacement and aortic coarctation repair. Following uncomplicated coronary angiography using Judkins left and right catheters, aortography revealed that the loud murmur was related to an unusual, extra-anatomic surgical repair: transverse aorta to descending aorta bypass. Recognition of an extra-anatomic surgical bypass of coarctation is important, as this repair would leave a continuous murmur on exam.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic* / diagnostic imaging
Aorta, Thoracic* / surgery
Aortic Coarctation* / diagnosis
Aortic Coarctation* / physiopathology
Aortic Coarctation* / surgery
Aortography / methods
Blood Vessel Prosthesis Implantation* / adverse effects
Blood Vessel Prosthesis Implantation* / instrumentation
Blood Vessel Prosthesis Implantation* / methods
Catheterization, Peripheral / methods
Endovascular Procedures / methods*
Heart Auscultation / methods
Humans
Male
Middle Aged
Outcome Assessment, Health Care