title: Acquired post-traumatic aortic coarctation presenting as new-onset congestive heart failure: treatment with endovascular repair.
abstract: Acquired coarctation of the thoracic aorta is a rare phenomenon in adults. The etiology is often idiopathic, but severe stenosis can develop from prior surgery, blunt thoracic aortic injuries, or severe atherosclerotic/atheroembolic disease. Common symptomatic presentations include refractory upper extremity hypertension and new-onset congestive heart failure. We present the case of a 52-year-old man who developed acquired thoracic aortic coarctation 30 years after a blunt trauma and deceleration injuries to the aorta requiring open surgical aortic repair. He presented with poorly controlled hypertension and new-onset heart failure and was treated surgically with endovascular repair.
authors: School of Medicine, Louisiana State University Health-Shreveport, Shreveport, LA.
authors: Norris B
authors: NB
authors: Thompson
authors: Department of Surgery, Louisiana State University Health-Shreveport, Shreveport, LA.
authors: Alireza
authors: A
authors: Hamidian Jahromi
authors: School of Medicine, Louisiana State University Health-Shreveport, Shreveport, LA.
authors: David H
authors: DH
authors: Ballard
authors: Department of Surgery, Louisiana State University Health-Shreveport, Shreveport, LA.
authors: Vyas R
authors: VR
authors: Rao
authors: Department of Surgery, Louisiana State University Health-Shreveport, Shreveport, LA. Electronic address: nsamra@lsuhsc.edu.
authors: Navdeep S
authors: NS
authors: Samra
mesh_terms: D000063:Accidents, Traffic; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D003251:Constriction, Pathologic; D057510:Endovascular Procedures; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013898:Thoracic Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*