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Updated: Dec 13, 2025

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Aortic Coarctation.

Umberto G Rossi1,2, Anna Maria Ierardi2, Gianpaolo Carrafiello3

  • 1Department of Diagnostic Imaging, Interventional Radiology Unit, Ente Ospedaliero Galliera Hospital, Genova, Italy.

Aorta (Stamford, Conn.)
|August 1, 2020
PubMed
Summary
This summary is machine-generated.

A rare case of aortic coarctation was found in a hypertensive 45-year-old male. This condition should be considered in hypertensive patients with blood pressure differences between limbs.

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Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Arterial hypertension is a common condition.
  • Aortic coarctation is a rare congenital defect causing hypertension.
  • Compensatory collateral circulation can develop around aortic coarctation.

Purpose of the Study:

  • To report a case of aortic coarctation presenting with arterial hypertension.
  • To highlight the importance of considering aortic coarctation in the differential diagnosis of hypertension.

Main Methods:

  • Case report of a 45-year-old male patient.
  • Clinical assessment including blood pressure measurement in upper and lower limbs.
  • Diagnostic imaging to confirm aortic coarctation and collateral circulation.

Main Results:

  • The patient presented with arterial hypertension.
  • Aortic coarctation was diagnosed.
  • Marked hypertrophic compensatory collateral arterial circulation was identified.
  • A significant pressure gradient between upper and lower limbs was observed.

Conclusions:

  • Aortic coarctation can present as arterial hypertension.
  • Differential diagnosis of hypertension should include aortic coarctation, especially with limb blood pressure discrepancies.
  • Early diagnosis and management of aortic coarctation are crucial.