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

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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

By Pediatric and Adult Interventional Cardiac Symposium

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March 13, 2014

History:

• 28 year old man, Weight: 60 kgs, Height: 1.63 m

• 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)
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