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A Case of Severe Coarctation of Aorta Associated With Bicuspid Aortic Valve Managed Surgically
M N Hasan1, M K Ahmed, M M Rahman
1Dr Md Nazmul Hasan, Resident, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh; E-mail: nazmu lhasan45cmc@gmail.com.
Insights
Coarctation of the aorta, a congenital heart defect, can remain undiagnosed until late adulthood. This case highlights successful surgical repair in a 45-year-old male, improving his quality of life.
Area of Science:
- Cardiology
- Congenital Heart Disease
Background:
- Coarctation of the aorta is a congenital cardiac malformation.
- It can remain undiagnosed until old age, with hypertension as a potential marker.
- Subtle clinical signs may be overlooked without a thorough physical examination.
Observation:
- A 45-year-old male presented with exertional dyspnea and fatigue.
- This marked a late diagnosis of aortic coarctation.
- The patient was managed with aortic surgery.
Findings:
- The patient experienced late diagnosis of aortic coarctation.
- Surgical intervention was performed.
- Post-surgery follow-up showed a good clinical condition.
Implications:
- Late diagnosis of coarctation of the aorta is possible.
- Surgical repair can lead to favorable outcomes in adults.
- Emphasizes the importance of complete physical examinations for early detection.
Abstract:
Coarctation of the aorta is a congenital cardiac malformation that can go undiagnosed until old age with only hypertension as a marker of its presence because clinical signs can be subtle and overlooked if a complete physical exam is not performed. Long-term survival is exceptional in patients with untreated aortic coarctation. In this case report, we present a late diagnosis of aortic coarctation in a 45-year-old male. Our patient was relatively asymptomatic until he presented with exertional dyspnea and fatigue in his fourth decade of life in Bangabandhu Sheikh Mujib Medical University (BSMMU), on the month of August, 2016. The patient was managed by surgery of aorta. After the 6 months follow-up visit, the patient was in good clinical condition.
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