Medina-Andrade, Miguel A; López-Taylor, Jaime; Ramírez-Cedillo, David; Massini-Aguilera, Italo; Jiménez-Fernández, Carlos; Olmos-Sánchez, Halina; Peña-Juárez, Alejandra

ABSTRACT

Aortic pseudocoarctation, a rare congenital aortic anomaly, mimics coarctation but typically lacks significant hemodynamic impact. We present a six-year-old male evaluated for systemic arterial hypertension. Diagnosis involved echocardiography revealing preductal coarctation and a wide patent ductus arteriosus, confirmed by cardiac CT angiography showing atypical double narrowing and angulation. Surgical coarctectomy and patent ductus arteriosus ligation via left thoracotomy were successfully performed. The critical role of advanced imaging in differentiating this condition is crucial.

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