title: Secondary hypertension in a migrant farm worker: a case report of coarctation of the aorta.
abstract: OBJECTIVE
  To report a case of undetected aortic coarctation in an adult Hispanic migrant farm worker that presented with uncontrolled hypertension and transient left flank pain. A primary care overview of the disorder, clinical diagnosis, testing, and treatment are discussed.
  
  
  METHODS
  Case report, scientific literature, diagnostic evidence.
  
  
  CONCLUSIONS
  Coarctation of the aorta is a significant congenital cardiovascular anomaly and cause of secondary hypertension. The majority of patients with coarctation of the aorta are diagnosed during infancy. Older children and adults may have a subtle presentation, but can be identified as being at risk by having a thorough history and physical, as well as noninvasive diagnostic testing.
  
  
  CONCLUSIONS
  Primary care providers must have a high degree of suspicion in patients with risk factors or in individuals that may have not benefited from adequate health screening. Early diagnosis and correction of the coarctation is important to reduce persistent postoperative hypertension and improve long-term survival.
authors.forename: Scott
authors.initials: S
authors.lastname: Fleming
authors.forename: Yves
authors.initials: Y
authors.lastname: Lefranc
authors.forename: George
authors.initials: G
authors.lastname: Rodway
authors.forename: Beth Ann
authors.initials: BA
authors.lastname: Wilson
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D008297:Male; D014171:Transients and Migrants