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Fig. 9C 2-day-old girl with critical coarctation of aorta at birth
complicated by thrombosis of distal arch and proximal descending thoracic
aorta underwent aortotomy, thrombectomy, and coarctation repair with pulmonary
homograft insertion. This was complicated by development of membranous
anastomotic stenosis, which was treated with percutaneous transluminal
angioplasty. Since then, she has undergone repeated balloon angioplasties for
residual obstruction. Oblique sagittal cine MR angiography shows jet caused by
membrane proving its hemodynamic significance (arrowhead).