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[Coarctation of the aorta as a cause of difficult-to-control hypertension]

Timion A Meijs1,2, Danny A J P van de Sande1, Jesse Peek3

  • 1UMC Utrecht, afd. Cardiologie, Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|February 7, 2022
PubMed

Insights

Coarctation of the aorta (CoA) is a congenital narrowing that can cause resistant hypertension in young adults. Successful stent implantation resolved severe CoA and hypertension in a 25-year-old patient.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Vascular Surgery

Background:

  • Coarctation of the aorta (CoA) is a congenital narrowing of the descending aorta.
  • It can manifest as resistant hypertension in pediatric and young adult populations.
  • Secondary causes are common in pediatric hypertension.

Observation:

  • A 25-year-old female presented with a 9-year history of persistent hypertension despite medication.
  • A systolic murmur led to cardiology referral, revealing severe CoA with collateral circulation and a bicuspid aortic valve.
  • The patient underwent successful stent implantation for the coarctation.

Findings:

  • Post-treatment, the patient achieved normotension without antihypertensive medication.
  • This case highlights the successful management of severe coarctation of the aorta in a young adult.
  • Effective treatment of CoA can resolve associated resistant hypertension.

Implications:

  • Early diagnosis and intervention for coarctation of the aorta are critical.
  • Treating coarctation can prevent long-term cardiovascular complications.
  • This case underscores the importance of considering congenital heart defects in young adults with unexplained hypertension.
Abstract

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