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Aortic coarctation diagnosed by magnetic resonance angiography
  1. A R O’CONNOR,
  2. A R MOODY,

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A 20 year old man was found to be hypertensive on routine screening. Examination revealed an absent right and barely palpable left femoral arterial pulse. Radiofemoral delay was present and pulsations were palpable over both scapulae. Parasaggital gadolinium enhanced magnetic resonance angiography (left) demonstrates a uniform 3 cm narrowing in the proximal descending aorta (d), which terminates in a discrete stricture before returning to a normal calibre (a, ascending aorta). Internal mammary artery hypertrophy is noted in the retrosternal