Aortic coarctation | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Aortic coarctation

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Sagittal maximum intensity projection (image 1), 3-D reformatted image (image 2), and axial maximum intensity projection (image 3) depict coarctation of the aortic arch. Bicuspid aortic valve often coexists with aortic coarctation. Coarctation is associated with Turner syndrome. When patients presenting in infancy, the area of aortic narrowing is in a preductal location.

Similar cases

Coronal maximum intensity projection from a chest CT (image 1) demonstrates a pulmonary arteriovenous malformation (arrow), confirmed with pulmonary angiography (images 2 and 3). Pulmonary arteriovenous malformations, which are abnormal connections between the pulmonary artery and vein, create an intrapulmonary right-to-left shunt. They are more common in patients with hereditary hemorrhagic telangiectasia.

3D reconstruction of a young infant with #Coarctation-of-aorta](https://app.figure1.com/case-detail/261ebd73-7629-4120-9314-baf1d21681d5)

Axial (Image 1), coronal (Image 2), and axial minimum intensity projection (Image 3) scans exhibit multiple features consistent with bronchial atresia: a branching tubular opacity (arrow) signifies the affected bronchus, accompanied by a simplified, hyperlucent lung (arrowhead). Bronchial atresia typically originates from a proximal bronchial segment's focal obliteration. Imaging often reveals a branching tubular opacity emanating from the hilum, with the distal lung appearing hyperlucent. It is most commonly seen in the left upper lobe, followed by the right upper, middle, and lower lobes. Scimitar syndrome may resemble bronchial atresia; however, it differs in the tubular density's path, arising medially at the chest base and extending laterally, unlike bronchial atresia's origin from the hilum.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?