J Cardiovasc Ultrasound.  2007 Mar;15(1):27-29.

A Case of Coarctation of Aorta with Left Isomerism Associated with Inferior Vena Cava Interruption and Polysplenia

Affiliations
  • 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. swpark@smc.samsung.co.kr

Abstract

A 27-year-old female visited outpatient clinic for the evaluation of palpitation and dyspnea on exertion. Echocardiographic examination including transthoracic and transesophageal echocardiography revealed coarctation of aorta, bicuspid aortic valve, mitral valve prolapse, and sealed-up ventricular septal defect. Further evaluation with computed tomography angiography revealed another combined congenital anomaly of left isomerism with polysplenism and interrupted inferior vena cava and pulmonary embolism with deep vein thrombosis. After corrective surgery for the coarctation, she received anticoagulation therapy for the treatment and the secondary prevention of pulmonary embolism.

Keyword

Polysplenia; Coarctation of aorta; Bicuspid aortic valve

MeSH Terms

Adult
Ambulatory Care Facilities
Angiography
Aortic Coarctation*
Aortic Valve
Bicuspid
Dyspnea
Echocardiography
Echocardiography, Transesophageal
Female
Heart Septal Defects, Ventricular
Humans
Isomerism*
Mitral Valve Prolapse
Pulmonary Embolism
Secondary Prevention
Vena Cava, Inferior*
Venous Thrombosis
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