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Fig. 15A —46-year-old woman with long history of hypertension and recent diagnosis of congenital coarctation of aorta presented for balloon angioplasty of coarctation. Angioplasty was performed with near-complete resolution of initial pressure gradient of 37 mm Hg, but was complicated by type B aortic dissection. Oblique sagittal maximum-intensity-projection (MIP) contrast-enhanced MR angiogram shows type B dissection (arrowheads), which extends from just below coarctation (arrow) to level of celiac axis. She subsequently underwent stent placement.