A severe coarctation of aorta in a 52-year-old male: a case report

Subarachnoid haemorrhage in a patient with undiagnosed aortic coarctation

A man in his mid-30s was admitted with a thunderclap headache. He was conscious and hypertensive. A decade earlier, severe hypertension had been diagnosed and extensively investigated without revealing an underlying cause. Brain imaging showed subarachnoid haemorrhage caused by a ruptured pericallosal aneurysm. Endovascular occlusion was attempted, but as the sheath could not pass the aortic arch, it was converted to surgical aneurismal clipping. Intraoperative blood pressure measurement revealed a peak-to-peak gradient of 100 mm Hg across the aortic arch and an ankle/brachial index of 0.46 (normal range 0.9-1.2). Aortic coarctation was suspected, and angiographic imaging and echocardiography confirmed the diagnosis. Subacute direct stenting was performed, which normalised the peak-to-peak gradient and ankle/brachial index. To minimise the risk of severe complications, early diagnosis of aortic coarctation is important and can be facilitated by ankle/brachial index and echocardiography in the suprasternal view.

Objective Improvement in Cognitive Function following Aortic Coarctation Repair in an Adult

Coarctation of the aorta is a rare finding in adults and can present with vague symptoms. We report a case of a 64-year-old cognitively impaired female who presented with fatigue and tinnitus. After extensive workup, she was diagnosed with coarctation of the aorta and subsequently underwent repair. After operative intervention for her coarctation, her cognitive impairment was found to have an objective improvement evidenced by the Montreal Cognitive Assessment.

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

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.

Acute anterior wall myocardial infraction in asymptomatic severe aortic Coarctation in young adult - A rare case

Coarctation of Aorta is not rare in general population. Aortic Coarctation represents about 5-8% of all congenital cardiac diseases, and it is commonly associated with bicuspid aortic valve. Coarctation of Aorta is typically a disease of childhood and early adulthood, reducing life expectancy in patients, who have not undergone correction. Many case reports of Coarctation of Aorta patients presenting with anterior wall myocardial infraction have been published in various journals, but to the best of our knowledge, no case of Coarctation of Aorta with acute anterior wall myocardial in 30-year-old male is reported till date. We are presenting a rare case of anterior wall myocardial infraction in young male with asymptomatic Coarctation of Aorta.