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Adult Coarctation of Aorta - A Classic Presentation Successfully Managed by Endovascular Stenting
Arun Shriram Amudhan1, K V Logavengatesh1, Vishal Venugopal1
1Department of Cardiology, SRM Medical College Hospital and Research Centre, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
Insights
Adults with unexplained symptoms may have undiagnosed coarctation of the aorta (CoA), a congenital heart defect. Early diagnosis and minimally invasive stenting can significantly improve quality of life.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
Background:
- Coarctation of the aorta (CoA) and bicuspid aortic valve are congenital heart conditions often diagnosed in childhood.
- Undiagnosed adult CoA can lead to significant morbidity, presenting with nonspecific symptoms like headaches and fatigue.
- Diagnostic challenges in adults include subtle presentations and lack of awareness.
Abstract:
This report presents the case of a 24-year-old woman with a 4-year history of unexplained headaches, vomiting, and fatigue, ultimately diagnosed with postductal coarctation of the aorta (CoA) and a bicuspid aortic valve. These conditions, often challenging to diagnose in adults, were revealed through significant upper-lower extremity blood pressure differences, rib notching on imaging, and extensive collateral vessel formation. Transcatheter coarctoplasty with bare-metal stent placement successfully resolved the pressure gradient and restored blood flow, leading to symptom relief and improved quality of life. This case emphasizes the importance of considering congenital cardiovascular conditions in adults and highlights advances in minimally invasive interventions and long-term management strategies.
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