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An 86-year-old woman with severe symptomatic aortic stenosis was referred for routine preoperative cardiac catheterization. During the procedure, pronounced tortuosity of the catheter was noted. Subsequent administration of intravenous contrast material revealed the presence of a markedly tortuous thoracic and abdominal aorta with no evidence of a localized aneurysm (Panel A) and with a clearly visible Judkins catheter (arrow) and venous catheter (arrowhead). The peripheral circulation was normal in both upper and lower limbs at physical examination, and the kidney function was not comprimised. Chest radiography showed multiple vertebral compression fractures and pronounced kyphosis (Panel B). Two photographs of the . . . [Full Text of this Article] |
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