A case of severe asymptomatic aortic coarctation in an adult female

Spyros Tsikrikas1, Charalampos Charalampous2, Konstantinos P Letsas2

  • 1Division of Cardiac Electrophysiology, Second Department of Cardiology, Evangelismos General Hospital of Athens, 10676 Athens, Greece.

Insights

Coarctation of the aorta, a congenital heart defect, usually affects young patients. This case highlights a rare instance of diagnosis in an elderly woman, emphasizing the potential for late-onset cardiovascular complications.

Area of Science:

  • Cardiology
  • Medical Case Reports
  • Congenital Heart Disease

Background:

  • Coarctation of the aorta is a congenital narrowing of the aorta, typically diagnosed in pediatric or young adult patients.
  • Untreated coarctation of the aorta is associated with significantly reduced life expectancy and severe cardiovascular sequelae.
  • Late diagnosis of coarctation of the aorta is uncommon, particularly in older individuals.

Observation:

  • This report details the case of a woman who received a first-time diagnosis of coarctation of the aorta at an advanced age.
  • The patient presented with cardiovascular complications indicative of long-standing aortic narrowing.
  • The diagnostic journey and clinical presentation in this elderly patient were atypical for coarctation of the aorta.

Findings:

  • The diagnosis of coarctation of the aorta was established in an elderly female patient, challenging the typical age of presentation.
  • The case underscores the possibility of severe cardiovascular complications arising from undiagnosed coarctation of the aorta persisting into older age.
  • This presentation suggests that coarctation of the aorta may remain clinically silent or present with varied symptoms in advanced age.

Implications:

  • This case broadens the understanding of the clinical spectrum and potential age of diagnosis for coarctation of the aorta.
  • It highlights the importance of considering coarctation of the aorta in the differential diagnosis of cardiovascular diseases in older adults.
  • Further research may be warranted to explore the long-term outcomes and management strategies for coarctation of the aorta diagnosed late in life.

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