1 / 1

Case of the Week – 08-06: Coarctation & aortic stenosis

Case of the Week – 08-06: Coarctation & aortic stenosis. History: A 46 YO ♂ with 6 months breathlessness. Previous patch repair of “adult type” CoA. 12 lead ECG: LVH Echocardiogram: Bicuspid, calcified Ao valve, gradient 85mmHg. CMR referral: Evaluate status of CoA repair.

foster
Download Presentation

Case of the Week – 08-06: Coarctation & aortic stenosis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Case of the Week – 08-06: Coarctation & aortic stenosis History: A 46 YO ♂ with 6 months breathlessness. Previous patch repair of “adult type” CoA. 12 lead ECG: LVH Echocardiogram: Bicuspid, calcified Ao valve, gradient 85mmHg. CMR referral: Evaluate status of CoA repair. CMR Cine: LVH, bicuspid Ao valve with turbulent flow. No significant AR. AVA=1.1 cm2 by planimetry. [A&B] CMR Black Blood and Angiography: Residual membrane without re-coarctation and a 3.4 cm fusiform aneurysm at the repair site. [C&D] LGE: Apical subendocardial and diffuse mid-zone LGE seen at multiple sites consistent with myocardial fibrosis. [E] Interpretation: Bicuspid Ao valve with moderate stenosis, fusiform aneurysm of the repair site, focal and subendocardial LGE. CMR Points: The flexibility of CMR allows both the evaluation of the anatomy of the CoA, the pathophysiology of the bicuspid aortic valve, and raises questions about myocardial disease in these conditions. A B C D Reference: Neilson JC, Powell AJ. CMR in congenital heart disease. Indian Journal of Radiology and Imaging 2007;17: 86-97. (full text) Gulati GS, Naik N, Sheorain V, Sharma S. Cardiothoracic Center All India Institute of Medical Sciences, Ansari Nagar, New Delhi Case editor: Gary Cooper

More Related