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Nat Clin Pract Cardiovasc Med. 2008 Aug;5(8):484-8. doi: 10.1038/ncpcardio1258. Epub 2008 Jun 24.

Coarctation of the aorta presenting as systemic hypertension in a young adult.

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  • 1University of Kentucky, Lexington, KY, USA.

Abstract

BACKGROUND:

A 20-year-old male presented with a history of systemic hypertension. Examination revealed a systolic murmur with an early ejection click, and femoral pulses were markedly reduced.

INVESTIGATIONS:

Physical examination, laboratory testing, electrocardiography, chest radiography, comprehensive echocardiography including pulsed-wave Doppler examination, and CT of the chest.

DIAGNOSIS:

Severe coarctation of the juxtaductal aorta accompanied by an ascending aortic aneurysm, a bicuspid aortic valve without evidence of hemodynamically significant stenosis or regurgitation, and an atrial septal defect.

MANAGEMENT:

An ascending-descending intrapericardial aortic bypass graft, atrial septal defect closure, and ascending aorta replacement were all successfully performed. Lifelong follow-up will be required.

PMID:
18578006
[PubMed - indexed for MEDLINE]
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