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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.
Abstract:
Coarctation of the aorta is typically a disease of childhood and early adulthood, and there is a reduced life expectancy in patients who have not undergone correction. Survival to older age is rare, due to severe cardiovascular complications. We describe the case of a woman first diagnosed with coarctation of aorta at an advanced age.
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