Marc-Alexander Ohlow, Bernward Lauer. Coarctation of aorta with complete aortic occlusion[J]. Journal of Geriatric Cardiology, 2013, 10(4): 383-385. DOI: 10.3969/j.issn.1671-5411.2013.04.009
Citation: Marc-Alexander Ohlow, Bernward Lauer. Coarctation of aorta with complete aortic occlusion[J]. Journal of Geriatric Cardiology, 2013, 10(4): 383-385. DOI: 10.3969/j.issn.1671-5411.2013.04.009

Coarctation of aorta with complete aortic occlusion

  • Survival to advanced age is exceptional in patients with unrepaired aortic coarctation. We report the case of an 81-year-old man with aortic coarctation and total occlusion who was otherwise asymptomatic. Coarctation was suspected when a femoral-radial pulse delay was noted during his routine physical examination. A 70-mmHg systolic blood pressure gradient between the upper and lower extremities was detected. Subsequent magnetic resonance angiography, aortography, and coronary angiography revealed severe coarctation of the aorta, well-developed collateral vessels, and severe coronary artery disease. A staged percutaneous coronary intervention procedure was performed and the coarctation was managed conservatively with antihypertensive medication.
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