Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
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Case Report

Volume 10, Number 4, August 2019, pages 241-244

Coarctation of Aorta Presenting as Spontaneous Subarachnoid Hemorrhage in a Young Female: A Case Report of a Rare Clinical Entity

Figures

Figure 1.
Figure 1. Chest X-ray posteroanterior (PA) view of the patient shows prominent bilateral posterior rib notching in the inferior aspect as shown by arrow heads.
Figure 2.
Figure 2. (a) CT aortography showing coarctation of aorta with a shelf like appearances is noted about 22 mm caudal to the origin of the left subclavian artery, measuring 4 mm in length and about 2.3 mm in caliber. (b) Contrast-enhanced computed tomography (CECT) thorax showing prominent RIMA and LIMA (yellow arrows) with prominent extensive collaterals seen around bilateral scapular region (yellow stars). (c) Magnetic resonance imaging (MRI) showed superolaterally directed right middle cerebral artery (MCA) bifurcation aneurysm measuring 6.3 × 4.5 mm. RIMA: right internal mammary artery; LIMA: left internal mammary artery.
Figure 3.
Figure 3. (a) Arch angiography showed discrete coarctation of the aorta distal to the left subclavian artery. (b) Arch angiography showed 15 × 30 mm measuring Tyshak balloon (star) was passed over Terumo wire and inflated across the stenotic segment.
Figure 4.
Figure 4. Arch angiography showed final results with good results.