Key result
Echocardiography detects severe aortic coarctation despite the atypical absence of LVH and overt collateral channels.
Case Report (n=1)
This case highlights the importance of echocardiography in diagnosing severe aortic coarctation even in the absence of typical findings like left ventricular hypertrophy or overt collateral channels.
Echocardiography may detect severe adult aortic coarctation without LVH or collaterals; case report leaves open broader diagnostic validation.
We describe an unusual case of periductal carctation of the aorta in a 40-year-old patient presenting to the echocardiography laboratory for evaluation of a heart murmur. Subsequent clinical history revealed easy fatigability, dyspnea on exertion, and hypertension. Despite a lack of left ventricular hypertrophy, aortic coarctation was suggested by echocardiography. It was later confirmed to be severe by multiple additional imaging modalities, despite an absence of overt collateral arterial channels. The importance of echocardiography in the diagnosis of coarctation of the aorta and the management of this complicated patient is discussed.
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Mangion et al. (1997) conducted a case report in Severe aortic coarctation (n=1). Echocardiography and multiple imaging modalities was evaluated on Diagnosis of severe aortic coarctation. Echocardiography successfully identified severe aortic coarctation in a 40-year-old patient despite the atypical absence of left ventricular hypertrophy and overt collateral arterial channels.
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