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Published on: August 1, 2025
Aorta coarctation presenting with intracranial aneurysm rupture
Orkide Hüdaoğlu1, Semra Kurul, Handan Cakmakci
1Division of Pediatric Neurology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey. orkidehudaoglu376@hotmail.com
Insights
Aorta coarctation, a heart condition, significantly increases the risk of early brain aneurysm rupture. Early diagnosis through physical exams and imaging is crucial for managing these vascular risks.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Vascular Surgery
Background:
- Vascular diseases frequently impact both the heart and brain.
- Intracranial aneurysms are notably more prevalent in individuals with aorta coarctation compared to the general population.
- Aneurysm rupture in these patients tends to occur at an earlier age.
Observation:
- This report details a case of aorta coarctation diagnosed concurrently with its cerebrovascular complications.
- The patient presented with cerebrovascular complications stemming from undiagnosed aorta coarctation.
Findings:
- Aorta coarctation can manifest with serious cerebrovascular complications, including intracranial aneurysms.
- Early detection of aorta coarctation is possible before severe complications arise.
Implications:
- Prompt diagnosis of aorta coarctation through physical examination and non-invasive imaging (echocardiography, cardiac MRI) is vital.
- Managing aorta coarctation can mitigate the risk of premature intracranial aneurysm rupture and associated neurological deficits.
- This case highlights the importance of considering aorta coarctation in patients presenting with cerebrovascular events, especially intracranial aneurysms.
Abstract:
Most vascular diseases have a tendency to affect both heart and the brain. Intracranial aneurysms are more often found in patients with aorta coarctation than in general population, and aneurysm rupture occurs much earlier in these patients. Here, we report a case of aorta coarctation which was diagnosed with its cerebrovascular complications. Before presenting with cerebrovascular complications, the disease can easily be diagnosed with physical examination and non-invasive radiological investigations like echocardiography or cardiac magnetic resonance imaging.
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