case_images: PMC10742369_01
case_images: A. Transthoracic echocardiogram (TTE) Suprasternal view: aortic arch with an area of coarctation and post-stenotic dilation.B. Transesophageal echocardiogram (TEE) short-axis view (0 ) of the descending aorta at the post-coarctation mid-esophageal level, where an image of vegetation can be seen. C. Angiotomography showing aortic coarctation.
case_images: 1984-0462-rpp-42-e2023084-gf01.jpg
case_images: PMC10742369_01_1984-0462-rpp-42-e2023084-gf01.jpg
case_images: f1
case_images: The echocardiogram found a coarctation of the aorta, without valvular or mural vegetation (Figure 1A). The angiotomography confirmed aortic coarctation without aneurysms (Figure 1C). The transesophageal echocardiogram showed a functional bicuspid aortic valve with mild aortic regurgitation, without any image suggestive of vegetation (Figure 1B).
case_images: PMC10742369_02
case_images: A and B. Echocardiogram in suprasternal view appreciating aortic arch with coarctation and saccular image in descending aorta that generates compression of the left pulmonary artery. C. Angiotomography: Aortic aneurysm after coarctation.
case_images: 1984-0462-rpp-42-e2023084-gf02.jpg
case_images: PMC10742369_02_1984-0462-rpp-42-e2023084-gf02.jpg
case_images: f2
case_images: Additionally, a left paracardiac tumor of 70x80 mm generated compression of the middle portion of the right pulmonary artery with a gradient of 32 mm Hg (Figure 2A and 2B). Chest computerized tomoangiography was performed and confirmed the presence of aortic coarctation with a post-stenosis saccular image that produced a compression effect toward the right pulmonary artery (Figure 2C).