A rare variety of aortic coarctation in which both the left subclavian and aberrant right subclavian arteries arose at the coarcted segment is described. Clinically this case was misleading since pulse volume and the blood pressure in all four limbs were equal and chest radiograph was lacking classical features of coarctation of aorta. Multi slice CT aortogram typically demonstrated the relationship of major aortic arch branches. Later he underwent balloon coarctoplasty and stenting with success. The literature relating to unusual coarctation is reviewed in brief

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@article{Ravindranath2010ACM, title={A clinically masked normotensive aortic coarctation.}, author={Khandenahally Shankarappa Ravindranath and N. Vivekantha Moorthy and Arunkumar Palaneeselvam and Ramesh Dwarakaprasad and Khaneja Satish and Chollenahally Nanjappa Manjunath}, journal={Indian heart journal}, year={2010}, volume={62 4}, pages={363-4} }