The resistant hypertension in 63 years old woman with late diagnosis of coarctation of aorta - case report

Abstract

The coarctation of aorta in the adults is not common. Adults with aortic coarctation establish a big problem for cardiologists and cardiac surgeons. The patients are treated with many antihypertensive medicines what is not always effective. Adults with coarctation die usually before 50 years of age due to coronary artery disease, heart failure, intracranial haemorrhage or aortic dissection. The surgical treatment of aortic coarctation in childhood is relatively easy and the risk is low but in the adults operation of aortic coarctation is a very difficult procedure and the risk is high. The article describes the management of aortic coarctation in 63 years old woman operated in our clinic. The aortic coarctation was resected and vascular prothesis was anastomosed end to end to descending aorta during the operation. The perioperative period was uneventful. In the postoperative period a massive haemorrhage from the upper part of intestinal tract was happened. The patient was discharged on the 26^th postoperative day free of any signs of heart disease.