Non-isthmic coarctation of the aorta is a rare congenital malformation in adults. Arterial hypertension is a frequent circumstance of discovery.？We reported the case of a 22-year-old Guinean man who had been followed for 5 years for hypertension. Clinically, he presented with hypertension of the upper limbs with a systolic pressure gradient of 100 mmHg. The diagnosis was confirmed by thoracic angioscan, which showed a 65.8% coarctation of the abdominal aorta. He was on triple antihypertensive therapy combining Atenolol 100？mg, Amlodipine 10？mg and Perindopril 10？mg. He is awaiting interventional treatment. His blood pressure is stable at around 140/90？mmHg.
References
[1]
Vaksmann, G. and Richard, A. (2011) Prise en charge de la coarctation de l’aorte chez l’adulte. La Presse Médicale, 40, 726-731. https://doi.org/10.1016/j.lpm.2011.02.031
[2]
Kim, Y.Y., Andrade, L. and Cook, S.C. (2020) Aortic Coarctation. Clinical Cardiology, 38, 337-351. https://doi.org/10.1016/j.ccl.2020.04.003
[3]
Vo, C., Leclercq, F. and Moniotte, S. (2020) La coarctation de l’aorte. Gunaikeia, 25, 31-34.
[4]
Guindo, S.A., Sylla, I.S., Babongui, B.L., et al. (2018) Claudication intermittente et hypertension artérielle révélant une coarctation atypique de l’aorte: A propos d’un cas. Cardiologie tropicale, 152.
http://www.tropical-cardiology.com/Accueil/index.php/fr/2013-08-10-06-44-55/annee-2018/n-152-avr-mai-juin-2018/201-cas-clinique-claudication-intermittente-et-hypertension-arterielle-revelant-une-coarctation-atypique-de-l-aorte-a-propos-d-un-cas
[5]
Connolly, J.E., Wilson, S.E., Lawrence, P.L., et al. (2002) Midle Aortic Syndrome: Distal Thoracic and Abdominal Coarctation, Disorder with Multiple Etiologies. Journal of the American College of Surgeons, 194, 774-781.
https://doi.org/10.1016/S1072-7515(02)01144-4
[6]
Ndobo-Koe, V., Mbede, M., Nganou-Gnindjio, C.N., et al. (2022) Coarctation de l’Aorte Révélée par une Hypertension Artérielle Associée à une Insuffisance Aortique chez un Jeune Adulte: à Propos d'un Cas. Health Sciences and Disease, 23, 116-119.
[7]
Mingorance, J.D., Bailón, A.M., Escobar, J.M. and Febres, L.M. (2022) Coarctation de l’aorte: Un cas atypique traité par une technique de stent àdouble couche. ESVS Vascular Forum, 55, 23-26. https://doi.org/10.1016/j.ejvsvf.2022.02.005
[8]
Maycock, W.D’A. (1937) Congenital Stenosis of the Abdominal Aorta. American Heart Journal, 13, 633-646. https://doi.org/10.1016/S0002-8703(37)91084-6
[9]
Stanley, J.C., Criado, E., Eliason, J.L., et al. (2008) Abdominal Aortic Coarctation: Surgical Treatment of 53 Patients with a Thoracoabdominal Bypass, Patch Aortoplasty, Or Interposition Aortoaortic Graft. Journal of Vascular Surgery, 48, 1073-1082.
https://doi.org/10.1016/j.jvs.2008.05.078
[10]
Arnot, R.S. and Louw, J.H. (1973) The Anatomy of the Posterior Wall of the Abdominal Aorta. Its Significance with Regard to Hypoplasia of the Distal Aorta. South African Medical Journal, 47, 899-902.
[11]
Kenny, D., Polson, J.W., Martin, R.P., Paton, J.F. and Wolf, A.R. (2011) Hypertension and Coarctation of the Aorta: An Inevitable Consequence of Developmental Patho- physiology. Hypertension Research, 34, 543-547.
https://doi.org/10.1038/hr.2011.22
[12]
Touma, Y., N’Guyen, A., N’Guyen, N., et al. (2013) Traitement de la coarctation native de l’aorte de l’adulte. La Presse Médicale, 42, 1196-1202.
https://doi.org/10.1016/j.lpm.2012.11.016
[13]
Conti, L., Borg Savona, S., Spiteri, T., Degiovanni, J., Borg, A. and Caruana, M. (2017) Aortic Coarctation—Never Too Late to Diagnose, Never Too Late to Treat. Images in Paediatric Cardiology, 19, 1-11.
[14]
Isselbacher, E.M., Preventza, O., Augoustides, J.G., et al. (2022) 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation, 146, e334-e482.
https://doi.org/10.1161/CIR.0000000000001106%
