File:Aortic coarctation (Radiopaedia 53947-60074 AP, SUPINE 1).JPEG

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Summary:

Description	Radiopaedia case ID: 53947 Image ID: 30892853 Plane projection: AP, SUPINE Study findings: Ride central venous catheter with the tip at the cavo-atrial junction, no pneumothorax. Neutral position of endotracheal tube: the tip is about 5cm above carina, normal position of nasogastric tube: it descends and crosses the diaphragm in the midline, left sided thoracotomy tube placed at the 5-6th intercostal space without any kinking: associated subcutaneous emphysema is present and deep sulcus sign is also seen suggesting air in the pleural space. Postsurgical posterolateral thoracotomy metallic fixation wires are noted. Figure 3 sign of aortic contour abnormality is nicely demonstrated. There is clearly seen bilateral 3rd to 9th inferior rib notching. Lungs are clear. Modality: X-ray System: Chest Findings: Presurgical contrast enhanced CT scan demonstrating a marked narrowing of descending thoracic aorta at the level of where the ligamentum arteriosum inserts into the descending aorta and is distal to the left subclavian artery keeping with the infantile(pre-ductal) form of aortic coarctation. There are also a prominent dilatation and tortuosity of internal thoracic posterior, anterior intercostal, musculophrenic and superior epigastric arteries.
Date	Published: 27th Jun 2017
Source	https://radiopaedia.org/cases/aortic-coarctation-2
Author	Arkadi Tadevosyan
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	05:08, 11 May 2021		1,024 × 1,024 (403 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:53947 (batch #2454-1 A1)

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