BACKGROUND: A 53-year-old male with a prior history of refractory arterial hypertension was admitted to our institution because of headache and high blood pressure, 220/120 mmHg. With the suspicion of an aortic dissection a CTA was performed.
INVESTIGATION: The aortic CTA revealed an aortic coarctation with chronic type B dissection of the descending aorta up to both iliac arteries. Transthoracic echocardiography showed a bicuspid valve with severe regurgitation, but normal LV volume and function.
DIAGNOSIS: Bicuspid valve, aortic coarctation and chronic type B dissection of the descending aorta.
MANAGEMENT: Percutaneous stenting (covered stent) of ...
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