Atypical coarctation of the abdominal aorta as a cause of acute hypertensive heart failure.
A case of atypical coarctation of the suprarenal aorta with symptoms of acute hypertensive heart failure is reported. A 62-year-old man was admitted because of dyspnea associated with severe hypertension. Chest x ray demonstrated mild pulmonary congestion. Following antihypertensive management, symptoms of congestive heart failure improved. Abdominal computed tomography and digital subtraction angiography undertaken several days later demonstrated a narrowed segment of the suprarenal aorta. Control of hypertension was poor with currently available antihypertensives and a bilateral axillo-femoral bypass operation with artificial grafts was undertaken. Postoperative blood pressure was maintained at a normal level with a small dose of atenolol. The patient had an uneventful hospital course and remains well.
Department of Internal Medicine, Miyazaki Kohnan Hospital, Japan.
K
K
Kodama
H
H
Murata
M
M
Hiratsuka
S
S
Kakitsubata
T
T
Yoshida
T
T
Onitsuka
Y
Y
Koga
D000208:Acute Disease; D001012:Aorta, Abdominal; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013625:Takayasu Arteritis / Q000150:complications