Dataset Information
Figure of 3-sign: a case report.
Ontology highlight
ABSTRACT: Background
A 50-year-old mother of four children was newly diagnosed with arterial hypertension and bilateral neck pulsations.Case summary
Her current blood pressure was 170/100?mmHg in the right arm and 122?mmHg systolic in the right ankle. There was a radio-femoral delay palpable. The electrocardiogram showed signs of left ventricular hypertrophy. On the chest X-ray, a figure of 3-sign was found at the aortic knuckle and notching of the inferior ribs was present. An echocardiogram showed concentric left ventricular hypertrophy, a mildly stenotic bicuspid aortic valve, and a low peak-gradient across the descending aorta. Magnetic resonance imaging demonstrated severe focal coarctation with complete interruption of the descending aorta. Large collaterals vessels were present, effectively bridging the aortic interruption.Discussion
In light of the extensive collateral vessels and the bleeding risk, an extra-anatomic aortic bypass was considered the least risky procedure. The patient agreed to the intervention and had an uncomplicated surgical course and recovery. At the 12-month follow-up, she was doing well and normotensive on Lisinopril 5?mg OD.
SUBMITTER: Henzel AW
PROVIDER: S-EPMC6439367 | biostudies-literature | 2019 Mar
REPOSITORIES: biostudies-literature
Publications
Figure of 3-sign: a case report.
European heart journal. Case reports 20181227 1
<h4>Background</h4>A 50-year-old mother of four children was newly diagnosed with arterial hypertension and bilateral neck pulsations.<h4>Case summary</h4>Her current blood pressure was 170/100 mmHg in the right arm and 122 mmHg systolic in the right ankle. There was a radio-femoral delay palpable. The electrocardiogram showed signs of left ventricular hypertrophy. On the chest X-ray, a figure of 3-sign was found at the aortic knuckle and notching of the inferior ribs was present. An echocardiog ...[more]
