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Pseudo-coarctation of the aorta

Imaging findings

CT shows marked elongation, tortuosity, and folding over of the aortic arch between the left common carotid and left subclavian arteries, without luminal narrowing, collateral vessels, or pressure gradient. The patient had a history of bicuspid aortic valve.

Key takeaways

Pseudo-coarctation is a benign congenital anomaly characterized by elongation and kinking of the aortic arch. Unlike true coarctation, there is no hemodynamic obstruction. It is strongly associated with bicuspid aortic valve.

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