title: Coarctation of the aorta presenting as systemic hypertension in a young adult.
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.
  
  
  METHODS
  Physical examination, laboratory testing, electrocardiography, chest radiography, comprehensive echocardiography including pulsed-wave Doppler examination, and CT of the chest.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
authors.affiliation: University of Kentucky, Lexington, KY, USA.
authors.forename: Jorge R
authors.initials: JR
authors.lastname: Alegria
authors.forename: Harold M
authors.initials: HM
authors.lastname: Burkhart
authors.forename: Heidi M
authors.initials: HM
authors.lastname: Connolly
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D016896:Treatment Outcome