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Surgery for Coarctation of the Aorta in an Adult – unusual occurrence

Coarctation of the aorta is a congenital malformation of the aorta usually diagnosed and corrected early in life. Long-term survival is exceptional in patients with untreated aortic coarctation. In this case report, we present a report of surgery for coarctation of the aorta where a late diagnosis was made a 32-year-old male.

He had been apparently well until 2 months prior to his consultation with us at the heart and lung clinic.. He had earlier attended a pre-employment checkup where he was diagnosed to have uncontrolled hypertension. He was known to have hypertension for 5 years for which he was on medications. He came to us for further evaluation of his high blood pressure. He had no other co-morbidities.

Physical examination revealed a blood pressure 170/90 mm Hg in both arms, a heart rate of 74 beats/minute and a continuous murmur in the interscapular region of the back. Femoral pulses were palpable bilaterally but weak and delayed compared to the brachial pulses.

His echocardiogram showed bicuspid aortic valve and mild (insignificant) mitral insufficiency. A cardiac silhouette at the upper limit of normal and notching of the ribs was observed on the chest radiography. His CT angiogram showed severe coarctation of aorta with well developed collaterals.

Mar 15 2022

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Surgery for Coarctation of the Aorta in an Adult – unusual occurrence

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Surgery for Coarctation of the Aorta in an Adult – unusual occurrence

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