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.