CoA stenting using the Large Advanta V12 covered stent under general anesthesia in the new hybrid room with 3D RTA (3 Dimensional Rotational Angiography) capability
• Arterial Hypertension ... read more ↘ discovered during an orthopedic surgery
• Asymptomatic
• On Enalapril, Diuretics
Physical Findings:
• BP: 150/90
• Diminished pulses inferior limbs
• Mild systolic ejection murmur mid sternal border irradiated to the furcula
• Mild systolic murmur heard in the left inter scapular area at the back
Pertinent Tests:
EKG:
• Sinus rhythm, LVH
Echo:
• Normal LV systolic fxn, Bicuspid aortic valve, CoA with difficult assessment of the local gradient (inadequate suprasternal windows), abnormal Doppler pattern in the DAo with diastolic tail.
CT/MR:
• Not performed
Catheterization (11/12):
• Subatretic CoA with 50 mmHg gradient (pictures) ↖ read less
