Infantile (Preductal) Coarctation of Aorta Presenting as Cerebellar Infarct - A Rare Presentation

Area of Science:

• Cardiology
• Neurology
• Pediatric Cardiology

Background:

• Coarctation of the aorta is a common congenital heart defect often diagnosed in infancy or childhood.
• Delayed diagnosis can lead to severe complications such as congestive heart failure or hypertension.
• Adult presentation of infantile coarctation is rare, with potential for serious sequelae.

Observation:

• A young woman presented with symptoms of vomiting and giddiness.
• Diagnostic workup revealed a cerebellar infarct.

Findings:

• The cerebellar infarct was found to be a consequence of a concealed preductal (infantile) coarctation of the aorta.
• This represents a rare case of an adult surviving childhood with infantile coarctation and presenting with a stroke.

Implications:

• Highlights the importance of maintaining a high index of suspicion for coarctation of the aorta, even in adults presenting with seemingly unrelated neurological symptoms.
• Suggests that previously undiagnosed infantile coarctation can lead to significant adult complications, including cerebrovascular events.
• Underscores the need for comprehensive cardiac evaluation in patients with cryptogenic stroke, particularly younger individuals.