Skip to main content
Top
Published in: BMC Cardiovascular Disorders 1/2020

Open Access 01-12-2020 | Aortic Coarctation | Case report

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

Authors: Weijian Luo, Jilin Li, Xiaojun Huang, Xiangna Cai

Published in: BMC Cardiovascular Disorders | Issue 1/2020

Login to get access

Abstract

Background

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.

Case presentation

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.

Conclusions

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.
Literature
1.
go back to reference Baumgartner H, Bonhoeffer P, Groot NMSD, Haan FD, Lionis C. Esc guidelines for the management of grown-up congenital heart disease. Eur Heart J. 2010;31(23):2915–57. CrossRefPubMed Baumgartner H, Bonhoeffer P, Groot NMSD, Haan FD, Lionis C. Esc guidelines for the management of grown-up congenital heart disease. Eur Heart J. 2010;31(23):2915–57. CrossRefPubMed
2.
go back to reference Davran C, Cevahir H, Suleyman O, Haldun M. A severe coarctation of aorta in a 52-year-old male: a case report. Int J Med Sci. 2010;7:340–1. Davran C, Cevahir H, Suleyman O, Haldun M. A severe coarctation of aorta in a 52-year-old male: a case report. Int J Med Sci. 2010;7:340–1.
3.
go back to reference Meller SM, Fahey JT, Setaro JF, Forrest JK. Multi-drug-resistant hypertension caused by severe aortic coarctation presenting in late adulthood. J Clin Hypertens. 2015;17(4):313–6. CrossRef Meller SM, Fahey JT, Setaro JF, Forrest JK. Multi-drug-resistant hypertension caused by severe aortic coarctation presenting in late adulthood. J Clin Hypertens. 2015;17(4):313–6. CrossRef
4.
go back to reference Eckroth-Bernard K, Yoon HR, Ryer EJ, Elmore JR. Percutaneous endovascular repair of adult aortic coarctation. J Vasc Surg. 2014;59(4):1120. CrossRefPubMed Eckroth-Bernard K, Yoon HR, Ryer EJ, Elmore JR. Percutaneous endovascular repair of adult aortic coarctation. J Vasc Surg. 2014;59(4):1120. CrossRefPubMed
5.
go back to reference Dijkema EJ, Leiner T, Grotenhuis HB. Diagnosis, imaging and clinical management of aortic coarctation. Heart. 2017;103:1148–55. CrossRefPubMed Dijkema EJ, Leiner T, Grotenhuis HB. Diagnosis, imaging and clinical management of aortic coarctation. Heart. 2017;103:1148–55. CrossRefPubMed
6.
go back to reference Pandya B, Cullen S, Walker F. Congenital heart disease in adults. BMJ 2016:i3905. Pandya B, Cullen S, Walker F. Congenital heart disease in adults. BMJ 2016:i3905.
7.
go back to reference Campbell M. Natural history of coarctation of aorta. Heart. 1970;32(5):633–40. CrossRef Campbell M. Natural history of coarctation of aorta. Heart. 1970;32(5):633–40. CrossRef
8.
go back to reference Publisher B S P B S. Appendix B: 2008 ACC/AHA guidelines for the management of adults with congenital heart disease. In: The role of imaging in adults with congenital heart disease: state-of-art review. 2012. Publisher B S P B S. Appendix B: 2008 ACC/AHA guidelines for the management of adults with congenital heart disease. In: The role of imaging in adults with congenital heart disease: state-of-art review. 2012.
12.
go back to reference Torok RD, Campbell MJ, Fleming GA, et al. Coarctation of the aorta: management from infancy to adulthood. World J Cardiol (WJC). 2015;7(11):765. CrossRef Torok RD, Campbell MJ, Fleming GA, et al. Coarctation of the aorta: management from infancy to adulthood. World J Cardiol (WJC). 2015;7(11):765. CrossRef
13.
go back to reference Forbes TJ, Kim DW, Du W, Turner DR, Holzer R, Amin Z, Hijazi Z, Ghasemi A, Rome JJ, Nykanen D, Zahn E, Cowley C, Hoyer M, Waight D, Gruenstein D, Javois A, Foerster S, Kreutzer J, Sullivan N, Khan A, Owada C, Hagler D, Lim S, Canter J, Zellers T. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: an observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol. 2011;58:2664–74. CrossRefPubMed Forbes TJ, Kim DW, Du W, Turner DR, Holzer R, Amin Z, Hijazi Z, Ghasemi A, Rome JJ, Nykanen D, Zahn E, Cowley C, Hoyer M, Waight D, Gruenstein D, Javois A, Foerster S, Kreutzer J, Sullivan N, Khan A, Owada C, Hagler D, Lim S, Canter J, Zellers T. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: an observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol. 2011;58:2664–74. CrossRefPubMed
Metadata
Title
Late diagnosis of coarctation of the aorta in a 44-year-old male: a case report
Authors
Weijian Luo
Jilin Li
Xiaojun Huang
Xiangna Cai
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2020
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-020-01753-1

Other articles of this Issue 1/2020

BMC Cardiovascular Disorders 1/2020 Go to the issue