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Angioplasty

Stenting of complex case of coarctation of aorta with a large coronary –aorto collateral. In a young person who has high blood pressure it is very important to measure blood pressure in all 4 limbs for diagnosing coarctation of aorta which will produce a difference of 20 mmHg systolic blood pressure in the upper and lower limb. This simple bedside clinical examination was missed in a 24 yr symptomatic hypertensive patient who was treated at various centres.The patient had exertional angina patient for which he underwent a coronary angiogram which showed large collateral arising from the right coronary artery to the descending aorta. CT aortogram confirmed the diagnosis of coarctation.

Angioplasty

In a young person who has high blood pressure it is very important to measure blood pressure in all 4 limbs for diagnosing coarctation of aorta which will produce a difference of 20 mmHg systolic blood pressure in the upper and lower limb. This simple bedside clinical examination was missed in a 24 yr symptomatic hypertensive patient who was treated at various centres.The patient had exertional angina patient for which he underwent a coronary angiogram which showed large collateral arising from the right coronary artery to the descending aorta. CT aortogram confirmed the diagnosis of coarctation.

Angioplasty

Stenting of complex case of coarctation of aorta with a large coronary –aorto collateral.
In a young person who has high blood pressure it is very important to measure blood pressure in all 4 limbs for diagnosing coarctation of aorta which will produce a difference of 20 mmHg systolic blood pressure in the upper and lower limb. This simple bedside clinical examination was missed in a 24 yr symptomatic hypertensive patient who was treated at various centres.The patient had exertional angina patient for which he underwent a coronary angiogram which showed large collateral arising from the right coronary artery to the descending aorta. CT aortogram confirmed the diagnosis of coarctation.

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