Coarctation of the aorta (CoA) is a relatively common defect that accounts for 5-8% of all congenital heart defects. CoA may occur as an isolated defect or in association with various other lesions, most commonly bicuspid aortic valve and ventricular septal defect (VSD). The diagnosis of CoA may be missed unless an index of suspicion is maintained, and diagnosis is often delayed until the patient develops congestive heart failure (CHF), which is common in infants, or hypertension, which is common in older children. Note the narrowed segment on the black blood image and the MIP. In the axial section note the discrepancy between ascending and descending aorta. Also note the scapular & intercostal collaterals. Case by- Dr MGK Murthy & Dr Sumer Sethi of Teleradiology Providers
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