Multi-drug-resistant hypertension caused by severe aortic coarctation presenting in late adulthood

Area of Science:

• Cardiology
• Vascular Surgery
• Hypertension Research

Background:

• Aortic coarctation is a rare congenital defect causing adult hypertension.
• Refractory hypertension requires thorough etiological investigation.

Observation:

• A female patient in her late 50s presented with severe, multi-drug-resistant hypertension.
• Elevated renin levels and imaging confirmed aortic coarctation.

Findings:

• Percutaneous stent implantation successfully treated the aortic coarctation.
• The patient achieved blood pressure control with single-drug therapy (verapamil).

Implications:

• Endovascular stent implantation is an effective treatment for adult aortic coarctation.
• Clinicians should consider aortic coarctation in adult refractory hypertension differential diagnoses.
• This approach may improve long-term outcomes for patients with coarctation-induced hypertension.