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

Coarctation 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. We present a case involving a late diagnosis of coarctation of the aorta detected during aortography in a 44...

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Bibliographic Details
Published in:BMC cardiovascular disorders 2020-11, Vol.20 (1), p.470-5, Article 470
Main Authors: Luo, Weijian, Li, Jilin, Huang, Xiaojun, Cai, Xiangna
Format: Article
Language:English
Subjects:
Adult
Adults
Angioplasty
Angioplasty, Balloon - instrumentation
Aorta
Aortic coarctation
Aortic Coarctation - diagnostic imaging
Aortic Coarctation - therapy
Aortography
Balloon angioplasty
Blood pressure
Cardiovascular disease
Case Report
Case studies
Catheters
Congenital diseases
Congestive heart failure
Coronary vessels
Creatinine
Delayed Diagnosis
Diagnosis
Ejection fraction
Health aspects
Heart failure
Hospitalization
Humans
Hypertension
Hypertrophy
Implants
Ischemia
Laboratories
Male
Medical imaging
Middle aged men
Patients
Predictive Value of Tests
Renal inadequacy
Stent placement
Stents
Treatment Outcome
Ventricle
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Summary:Coarctation 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. We 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. This 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.
ISSN:1471-2261
1471-2261
DOI:10.1186/s12872-020-01753-1