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Figure 17


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).