case_images: PMC3232568_01
case_images: Frontal and lateral cineangiogram in the descending aorta demonstrating abrupt termination of contrast flow, and confirming the diagnosis of severe coarctation.
case_images: IPC-7-12-g001.jpg
case_images: PMC3232568_01_IPC-7-12-g001.jpg
case_images: F1
case_images: A 6F endhole catheter was advanced to the descending aorta where angiography confirmed the diagnosis of coarctation. (figures 1 and 2).
case_images: Angiogram as figure 1.
case_images: IPC-7-12-g002.jpg
case_images: PMC3232568_01_IPC-7-12-g002.jpg
case_images: F2
case_images: A 6F endhole catheter was advanced to the descending aorta where angiography confirmed the diagnosis of coarctation. (figures 1 and 2).
case_images: Left ventriculogram performed after trans-septal puncture, demonstrating patency of the aortic arch, with a tight coarctation.
case_images: IPC-7-12-g003.jpg
case_images: PMC3232568_01_IPC-7-12-g003.jpg
case_images: F3
case_images: Left ventricular angiography demonstrated patency of the coarctation (figure 3 - arrow).
case_images: The coarctation has been crossed with a long (260 cm) 0.035" guidewire, and a femoral arteriovenous loop established.
case_images: IPC-7-12-g004.jpg
case_images: PMC3232568_01_IPC-7-12-g004.jpg
case_images: F4
case_images: The wire was snared using a 20mm snare device (PFM, Germany) and exteriorised via the femoral artery, establishing a continuous arteriovenous guidewire loop (figure 4).
case_images: A Palmaz P4014 stent, mounted on a 20mm diameter (4 cm long) balloon is positioned across the coarctation, and optimal position confirmed by angiography.
case_images: IPC-7-12-g005.jpg
case_images: PMC3232568_01_IPC-7-12-g005.jpg
case_images: F5
case_images: A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).
case_images: Stent inflation.
case_images: IPC-7-12-g006.jpg
case_images: PMC3232568_01_IPC-7-12-g006.jpg
case_images: F6
case_images: A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).
case_images: Aortic angiography following stent deployment, confirming an excellent result.
case_images: IPC-7-12-g007.jpg
case_images: PMC3232568_01_IPC-7-12-g007.jpg
case_images: F7
case_images: A Palmaz P4014 stent (Johnson & Johnson, USA), mounted on a 20mm diameter balloon (Cordis, USA) was delivered to the coarctation (figure 5), and appropriately deployed (figures 6 and 7).