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A 54-year-old white woman with a history of hypertension, hyperlipidemia, atrial fibrillation, bicuspid aortic valve, and a previously repaired aortic coarctation in adulthood underwent a computed tomography (CT) scan of the chest to evaluate her surgical repair after an episode of chest pain. Her original repair consisted of a coarctectomy with placement of a side-to-side graft. The CT scan revealed a 4-cm, proximal descending thoracic aortic aneurysm in the repaired portion of the aorta. Magnetic resonance angiography (MRA) and a conventional aortogram did not clarify the underlying problem. She was referred to our center for further investigation and possible surgical or endovascular repair.We performed a rotational aortogram with 3D reconstruction to solve the anatomic enigma (Figure). The study showed a prosthetic graft placed at the site of the coarctectomy, between the …

Rotational Aortogram With Three-Dimensional Reconstruction in a Case of Repaired Aortic Coarctation