Coarctation of aorta with normal blood pressure

Samatha Muppidi1, Geoffrey Ngeny, Anekwe Onwuanyi

  • 1Department of Internal Medicine, Morehouse School of Medicine, Atlanta, Georgia 30310, USA.

Insights

Coarctation of the aorta (COA) typically causes severe hypertension in adults. This case study presents an unusual instance of COA in a young male with normal blood pressure, challenging typical presentations.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Pediatric Cardiology

Background:

  • Coarctation of the aorta (COA) is a congenital narrowing of the aortic arch.
  • Adult COA commonly presents with severe, uncontrolled hypertension.
  • Associated complications include heart failure, epistaxis, headaches, and aortic dissection.

Observation:

  • A young male patient presented with an unusual clinical manifestation of coarctation of the aorta.
  • The patient exhibited normal blood pressure, deviating from the typical hypertensive presentation.
  • Diagnostic workup confirmed the presence of coarctation of the aorta.

Findings:

  • This case highlights a rare variant of adult coarctation of the aorta.
  • The absence of hypertension in this COA case is atypical.
  • Normal blood pressure may delay diagnosis and management of coarctation of the aorta.

Implications:

  • Physicians should consider coarctation of the aorta in young adults even with normal blood pressure.
  • Early diagnosis of atypical COA presentations is crucial to prevent long-term cardiovascular complications.
  • This case broadens the understanding of coarctation of the aorta's clinical spectrum.

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