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Aortic stenosis in a patient with a history of surgical correction of aortic coarctation

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Further findings relevant for treatment planning
    5. References
    Aortic stenosis in a patient with a history of surgical correction of aortic coarctation - mdct.net

    1. Patient presentation

    • A 73-year-old woman was admitted because of symptomatic aortic stenosis.
    • She suffered from moderate-severe left heart failure (NYHA II-III) with recurrent pulmonary edema.
    • Echocardiography revealed aortic stenosis, with a gradient of 64 mmHg, combined with very mild regurgitation.
    • Due to the clinical symptoms, an indication for aortic valve repair was established and, based on age and general situation, the patient was primarily evaluated for transfemoral aortic valve implantation (TAVI).
    • As a routine part of this evaluation, CT angiography of the entire aorta and iliac arteries was performed (Figures 1, 2).
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