title: Dilated cardiomyopathy secondary to coarctation of the aorta was completely resolved after stent implantation.
abstract: Although rare in adults, coarctation of the aorta can present as an occult cause of cardiomyopathy. In this case report, we describe a 55-year-old man who presented to our clinic with new-onset symptoms of heart failure. Transthoracic echocardiography showed a dilated left ventricle with severely depressed systolic function. Cardiac catheterisation showed no critical coronary artery disease but a severe aortic coarctation just distal to the origin of the left subclavian artery, with a peak-to-peak systolic pressure gradient of 40 mmHg. We successfully implanted a balloon-expandable stent with good angiographic results. The procedure resulted in immediate clinical improvement. Six-months after stent implantation, the patient was free of symptoms and an echocardiographic examination showed completely normalised cardiac size and systolic function.
authors: Ahi Evren Chest, Heart and Vascular Surgery Hospital, Soğuksu Mah, Trabzon, Turkey. tarikagac@gmail.com
authors: Mustafa Tarik
authors: MT
authors: Ağaç
authors: Zeydin
authors: Z
authors: Acar
authors: Ramazan
authors: R
authors: Akdemir
authors: Levent
authors: L
authors: Korkmaz
authors: Abdülkadir
authors: A
authors: Kiriş
authors: Ali Riza
authors: AR
authors: Akyüz
authors: Hakan
authors: H
authors: Erkan
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001027:Aortography; D006328:Cardiac Catheterization; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D015150:Echocardiography, Doppler; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D020127:Recovery of Function; D015607:Stents; D016896:Treatment Outcome; D016277:Ventricular Function, Left