PMC4717556_01
a Descending aortogram showing a blind distal aortic segment below the involved segment. b Descending aortogram showing a guide-wire across the atretic membrane of the aortic lumen
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Fig1
An initial angiogram revealed a blind end at the level of the coarctation (Fig. 1a). The diameter of atretic aortic lumen was 1.2 mm (Fig. 1b).The subsequent angiogram however confirmed the absence of any resultant vascular complication. Therefore, we proceeded further.
a Aortogram showing placement of a stent across the coarctation of the aorta. b Follow-up CT angiogram showing a patent stent and the lumen of the aorta. (AO- Ascending aorta, DO- descending aorta)
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Fig2
A 16 mm X 4 cm Z-Med  balloon was used to successfully inflate the stent distal to the left subclavian origin (Fig. 2a). We proceeded to re-dilate the stent successfully (Fig. 2b).