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Coarctation of the thoracic aorta masquerading as bilateral aorto-iliac stenosis

Khalid Bin Thani1, Khushboo Kaushal1, Denise Barnard1

  • 1Department of Medicine, Division of Cardiology, University of California San Diego, CA, USA.

Journal of Cardiology Cases
|December 15, 2018
PubMed

Insights

We describe a case of coarctation of the aorta (CoA) causing leg pain and weakness, successfully treated with surgery. This case highlights the diagnostic difficulties in identifying CoA when leg claudication is the primary symptom.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Coarctation of the aorta (CoA) is a congenital narrowing of the aortic arch.
  • CoA can present with varied symptoms, including lower extremity issues.
  • Claudication is often associated with peripheral artery disease, masking other conditions.

Purpose of the Study:

  • To present a case of CoA presenting with lifestyle-limiting claudication.
  • To discuss the diagnostic challenges in identifying CoA in such cases.
  • To highlight the successful surgical management of CoA presenting atypically.

Main Methods:

  • Case report detailing clinical presentation, diagnostic workup, and treatment.
  • Review of diagnostic modalities used to confirm CoA.
  • Surgical intervention and post-operative assessment.

Main Results:

  • Successful surgical correction of coarctation of the aorta.
  • Resolution of claudication and lower extremity weakness post-surgery.
  • Demonstration of CoA as a cause of claudication.

Conclusions:

  • CoA should be considered in the differential diagnosis of claudication, especially in younger patients.
  • Multimodality imaging is crucial for accurate CoA diagnosis.
  • Surgical correction offers a definitive treatment for CoA with limb ischemia symptoms.

Keywords:
ClaudicationCoarctation of the aortaPeripheral arterial disease

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