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Everything you need to know about Computed Tomography (CT) & CT Scanning


question

Question 9: 50ish yr old male with chest x-ray suggesting a mediastinal mass. What is the diagnosis?

answer

Diagnosis: Pseudocoarctation of the Aorta

Pseudocoarctation of the Aorta: Facts

  • Elongated and redundant thoracic aorta with kink distal to left subclavian artery at ligamentum arteriosum
  • May present age 10 thru age 70
  • Usually asymptomatic but reportedly associated with hypertension, bicuspid aortic valve, anomalies of arch branches
  • No pressure gradient present
  • Esophagus may be displaced
  • No rib notching

Differential Diagnosis

  • True coarctation
  • Aneurysm of the arch
  • Mediastinal mass
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COA s/p Repair

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© 1999-2019 Elliot K. Fishman, MD, FACR. All rights reserved.