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[Isthmic coarctation of the aorta. Description of an anomalous case]
F Mascoli1, G Anania, T Virgili
1Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Ferrara.
Insights
A rare case of adult-onset aortic coarctation presented with persistent hypertension and fainting spells. Surgical repair successfully resolved both the aortic narrowing and associated symptoms.
Area of Science:
- Cardiology
- Vascular Surgery
- Medical Case Reports
Background:
- Coarctation of the aorta is a congenital narrowing of the aorta.
- Isthmic coarctation typically presents in childhood or adolescence.
- Late-onset presentations are uncommon, particularly in the preductal region.
Observation:
- A patient presented with late-onset isthmic coarctation of the aorta at a preductal site.
- Symptoms included persistent hypertension, headaches, and fainting spells (lipothymic attacks).
- Instrumental examinations confirmed the clinical diagnosis of aortic coarctation.
Findings:
- The patient underwent successful resective-reconstructive surgery for the aortic coarctation.
- Post-operative assessment indicated complete resolution of the aortic narrowing.
- The hypertensive symptomatology and associated attacks were fully resolved after surgery.
Implications:
- This case highlights that coarctation of the aorta can manifest in adulthood.
- Early diagnosis and surgical intervention are crucial for managing late-onset aortic coarctation.
- Surgical repair offers a definitive solution for both the vascular defect and its clinical sequelae.
Abstract:
An anomalous (because of the advanced age of its onset) case of isthmic coarctation of the aorta in preductal site observed at the persistence of hypertensive symptomatology associated with cephalgic and lipothymic attacks is reported. Instrumental examinations confirmed the clinical suspicion and resective-reconstructive surgical treatment led to complete resolution of both cause and effect.