PMC4010033_01
Complete occlusion of proximal portion of descending aorta.
CRIM.CRITICAL.CARE2011-989621.001.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.001.jpg
fig1
Radio contrast injection revealed complete occlusion of proximal portion of descending aorta (Figure 1).
LV angiogram.
CRIM.CRITICAL.CARE2011-989621.002.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.002.jpg
fig2
The study revealed moderately enlarged left ventricle (LV) cavity with severely depressed LV contraction with global hypokinesia, (Figure 2).
Double brachiocephalic trunk.
CRIM.CRITICAL.CARE2011-989621.003.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.003.jpg
fig3
Aortography revealed mildly dilated ascending aorta with double brachiocephalic artery trunk and interrupted aortic arch in the isthmus (Figures 3 and 4).
Complete interruption of Aorta.
CRIM.CRITICAL.CARE2011-989621.004.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.004.jpg
fig4
Aortography revealed mildly dilated ascending aorta with double brachiocephalic artery trunk and interrupted aortic arch in the isthmus (Figures 3 and 4).
Left coronary artery with minimal narrowing.
CRIM.CRITICAL.CARE2011-989621.005.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.005.jpg
fig5
Evaluation of coronary vessels showed no obstructive lesion (Figure 5).
Well-developed collaterals (dilated right internal mammary artery).
CRIM.CRITICAL.CARE2011-989621.006.jpg
PMC4010033_01_CRIM.CRITICAL.CARE2011-989621.006.jpg
fig6
Profuse and well-developed collateral vessels were observed in the lower neck and upper thoracic region (Figure 6).