Warne RR, Ong JSL, Murray CP. Incidental detection of late presenting co-arctation of the aorta on chest x-ray: the importance of rib notching.
BMJ Case Rep 2012;
2012:bcr.12.2011.5347. [PMID:
22665915 DOI:
10.1136/bcr.12.2011.5347]
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Abstract
A 31-year-old obese male presented to the emergency department with symptoms and signs suggestive of a viral upper respiratory tract illness with a background of low exercise tolerance. Rib notching was identified on plain film chest radiography and subsequent CT of the thorax identified a moderately tight 2-mm juxta-ductal co-arctation of the aorta with multiple enlarged chest wall collaterals. The patient underwent a two-stage percutaneous procedure involving stent insertion and angioplasty up to 16 mm with significant improvement in exercise capacity and a modest reduction in blood pressure.
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