20 year longstanding hypertension. He was found to have upper abdominal bruit and suspected to have a coarctation

Severe coarct with 3 sign

Intercostal collateral from 4th intercostal artery

Intercostal collateras

LVH

Internal Mammry Arteries

 

Inferior epigastric and Diaphragmatic vessels

Intercostals and paraspinous collaterals

Close association wit the ribs

LVH and LArge Internal mammary artery

 

Inferiorepigastrics

Plan to book for percutaneous stent to coarct under GA.