"Unkinking" the "Kink" Normalizes the Doppler Pattern
Elaina A Blickenstaff1, Michael O'Shea2, Timothy Barry3
1Department of Biology, Marshall University, 1 John Marshall Drive, Huntington, WV 25755, USA.
Insights
Coarctation of the aorta (CoA), a congenital heart defect, can be effectively treated with percutaneous stenting. This case study shows successful stenting normalized Doppler patterns in a young hypertensive male with CoA.
Area of Science:
- Cardiology
- Medical Imaging
- Interventional Cardiology
Background:
- Coarctation of the aorta (CoA) is a significant congenital heart defect, accounting for 5-7% of all cases.
- CoA can occur in isolation or with other cardiac abnormalities like bicuspid aortic valve or ventricular septal defects.
- Diagnosis relies on echocardiography, supplemented by MRI or CT for detailed aortic assessment.
Purpose of the Study:
- To present a case of successful percutaneous stenting for coarctation of the aorta.
- To illustrate the diagnostic utility of echocardiography and Doppler in identifying and monitoring CoA.
- To highlight the effectiveness of endovascular stenting in treating CoA in a young hypertensive patient.
Main Methods:
- Echocardiography with Doppler for initial diagnosis and monitoring.
- Percutaneous stenting as the intervention for aortic arch narrowing.
- Clinical assessment including evaluation of cardiac murmurs and blood pressure.
Main Results:
- A young male presented with a continuous cardiac murmur and confirmed CoA via echocardiography.
- Percutaneous stenting was performed as treatment for the coarctation.
- Post-stenting, Doppler patterns normalized, indicating successful repair.
Conclusions:
- Percutaneous stenting is a viable and effective treatment for coarctation of the aorta.
- Echocardiography remains a crucial tool for diagnosing and assessing the success of CoA interventions.
- Prompt intervention can resolve hemodynamic abnormalities associated with CoA.
Abstract:
Coarctation of the aorta (CoA) comprises 5-7% of congenital heart disease and can present as an isolated narrowing in the aortic arch just distal to the left subclavian artery or can be associated with cardiac abnormalities such as a bicuspid aortic valve, aortopathy, or ventricular septal defects. With the advances in the medical field, intervention on CoA can either be via surgical repair or endovascular stenting. Echocardiography is the mainstay in diagnosing CoA, with tomographic imaging such as magnetic resonance imaging (MRI) or computed tomography providing supplementary assessment of the aorta, valves, and collateral vessels. We present a case of a young hypertensive male who was noted to have a continuous cardiac murmur with diagnostic Doppler pattern of CoA on echocardiography that normalized soon after percutaneous stenting.
Related Concept Videos
Doppler Effect - II
Doppler Effect - I
Types of Damping
Nuclear Overhauser Enhancement (NOE)
¹H NMR: Interpreting Distorted and Overlapping Signals
As Δν decreases and the signals move closer, the doublets appear increasingly distorted. The intensities of the inner lines increase at the cost of those of the outer lines as the signals are...
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:


