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Henzel AW, Schwerzmann M. Figure of 3-sign: a case report. Eur Heart J Case Rep. 2018;3(1):yty162doi: 10.1093/ehjcr/yty162.
Henzel, A. W., & Schwerzmann, M. (2019). Figure of 3-sign: a case report. European heart journal. Case reports, 3(1), yty162. https://doi.org/10.1093/ehjcr/yty162
Henzel, Agata Wiktoria, and Schwerzmann, Markus. "Figure of 3-sign: a case report." European heart journal. Case reports vol. 3,1 (2019): yty162. doi: https://doi.org/10.1093/ehjcr/yty162
Henzel AW, Schwerzmann M. Figure of 3-sign: a case report. Eur Heart J Case Rep. 2018 Dec 27;3(1):yty162. doi: 10.1093/ehjcr/yty162. eCollection 2019 Mar. PMID: 31020238; PMCID: PMC6439367.
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Eur Heart J Case Rep. 2018 Dec 27;3(1):yty162. doi: 10.1093/ehjcr/yty162. eCollection 2019 Mar.

Figure of 3-sign: a case report.

European heart journal. Case reports

Agata Wiktoria Henzel, Markus Schwerzmann

Affiliations

  1. Department of Cardiology, Center for Congenital Heart Disease, University Hospital Inselspital, University of Bern, Freiburgstrasse 15, 3010 Bern, Switzerland.

PMID: 31020238 PMCID: PMC6439367 DOI: 10.1093/ehjcr/yty162

Abstract

BACKGROUND: A 50-year-old mother of four children was newly diagnosed with arterial hypertension and bilateral neck pulsations.

CASE SUMMARY: Her current blood pressure was 170/100 mmHg in the right arm and 122 mmHg systolic in the right ankle. There was a radio-femoral delay palpable. The electrocardiogram showed signs of left ventricular hypertrophy. On the chest X-ray, a figure of 3-sign was found at the aortic knuckle and notching of the inferior ribs was present. An echocardiogram showed concentric left ventricular hypertrophy, a mildly stenotic bicuspid aortic valve, and a low peak-gradient across the descending aorta. Magnetic resonance imaging demonstrated severe focal coarctation with complete interruption of the descending aorta. Large collaterals vessels were present, effectively bridging the aortic interruption.

DISCUSSION: In light of the extensive collateral vessels and the bleeding risk, an extra-anatomic aortic bypass was considered the least risky procedure. The patient agreed to the intervention and had an uncomplicated surgical course and recovery. At the 12-month follow-up, she was doing well and normotensive on Lisinopril 5 mg OD.

Keywords: Case report; Coarctation of the aorta; Extra-anatomic aortic bypass; Hypertension

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