Author + information
- Received May 7, 2009
- Revision received November 17, 2009
- Accepted November 18, 2009
- Published online July 27, 2010.
A 37-year-old man presented with resistant hypertension on 4 drugs. Physical examination revealed radio femoral delay and clinical left ventricular hypertrophy. Very distinct palpable pulsatile collateral vessels were discovered over his left scapular, left chest wall, and anterior abdominal wall (A, B). Echocardiography confirmed left ventricular hypertrophy with good systolic function and a normal left ventricular outflow tract. Suprasternal echocardiography revealed a stenosis in descending aorta (C)with a peak systolic gradient of 84 mm Hg and a pan-diastolic gradient (D). A 64-mm computed tomography scan of the chest revealed a focal coarctation and collaterals extending over the scapular and over the anterior abdominal wall (E, F). The patient decided to consider his options of surgical correction versus an endovascular stent.
- Received May 7, 2009.
- Revision received November 17, 2009.
- Accepted November 18, 2009.
- American College of Cardiology Foundation