Coarctation of the aorta presenting as systemic hypertension in a young adult.
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.
Alegria
Jorge R
JR
University of Kentucky, Lexington, KY, USA.
Burkhart
Harold M
HM
Connolly
Heidi M
HM
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