Late diagnosis of coarctation of the aorta in a 44-year-old male: a case report

BMC Cardiovascular Disorders

Weijian Luo¹  Xiaojun Huang¹  Jilin Li¹  Xiangna Cai² 

[1] Department of Cardiology, Second Affiliated Hospital of Shantou University Medical College, No. 69 Dongxiabei Road, Jinping District, 515041, Shantou, Guangdong Province, People’s Republic of China;Department of Plastic Surgery, First Affiliated Hospital of Shantou University Medical College, 515041, Shantou, Guangdong, China;

关键词: Case report;    Hypertension;    Renal inadequacy;    Heart failure;    Balloon angioplasty;    Stent placement;    Coarctation of the aorta;   

DOI  :  10.1186/s12872-020-01753-1

来源: Springer

【 摘 要 】

BackgroundCoarctation of the aorta is a rare congenital disease. In adults, the main manifestations include hypertension, weak or absent femoral pulses, heart failure, and left ventricular hypertrophy.Case presentationWe present a case involving a late diagnosis of coarctation of the aorta detected during aortography in a 44-year-old man. The patient underwent stent implantation and aortoplasty. After 2 years of follow-up, the patient was in good condition.ConclusionsThis case shows that coarctation of the aorta can be cured and that hypertension caused by the condition can be controlled to some extent with medication. Based on our findings, we recommend a detailed physical examination for all patients suspected of having coarctation of the aorta; the examination should include blood pressure measurements of both the upper and lower extremities. The case of coarctation of the aorta is not common or easy to be found in medium-aged population. Better BP control, earlier repair, and transcatheter intervention may result in a good outcome in that case.

【 授权许可】

CC BY