PMC5840949_01
Disease progression of patient from ED (t = 0 hr) presentation to cardiogenic shock (t = +9 hr).
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fig1
CMP was significant for metabolic acidosis and hyperkalemia (Figure 1). Chest X-ray was unremarkable (Figure 2).
CXR (AP) shows a prominent thymus, normal cardiothoracic ratio, sharp costophrenic angles without cardiomegaly, consolidation, or increased perivascular markings.
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fig2
CMP was significant for metabolic acidosis and hyperkalemia (Figure 1). Chest X-ray was unremarkable (Figure 2). Lower limb blood pressures at that time were undetectable (see Figure 2 for detailed exam).
Color Doppler showing narrowing (arrow) with marked flow acceleration in descending aorta. AAo: ascending aorta; DAo: descending aorta.
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fig3
Critical coarctation of the aorta (CoA) was suspected, and 2D echocardiogram confirmed severe discrete coarctation of the aorta (Figure 3).