Midabdominal aortic coarctation presenting with severe pre-eclampsia

This is a case report of a 23-year-old pregnant woman with uncontrolled hypertension, resulting in delivery of her baby at 28 weeks. Postpartum, she further developed claudication and postprandial abdominal discomfort and was diagnosed with coarctation of the midabdominal aorta. She underwent thoracoabdominal aortic repair from the descending thoracic to infrarenal aorta. A bifurcated graft was used to complete the aorto-common hepatic artery and aorto-superior mesenteric artery bypasses. A third graft limb was sewn to revascularize the left renal artery. At 1-year follow up, all symptoms had resolved. This is an interesting coarctation patient treated successfully with thoracoabdominal reconstruction.