open access

Vol 23, No 1 (2019)
Case report
Published online: 2019-02-22
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Refractory hypertension and the lower limbs ischaemia as an aortic coarctation symptom

Katarzyna Drożdż12, Angelika Chachaj12, Paweł Gać34, Roland Fiszer5, Jacek Białkowski5, Andrzej Szuba12
·
Arterial Hypertension 2019;23(1):35-39.
Affiliations
  1. Department of Internal Medicine, 4th Military Teaching Hospital, Wroclaw, Poland
  2. Division of Angiology, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
  3. Department of Hygiene, Wroclaw Medical University, Wroclaw, Poland
  4. Department of Radiology and Diagnostic Imaging, 4th Military Hospital, Wroclaw, Poland
  5. Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Medical University of Silesia, Zabrze, Poland

open access

Vol 23, No 1 (2019)
CASE REPORT
Published online: 2019-02-22

Abstract

Coarctation of the aorta (CoA) is a very rare cause of secondary hypertension, accounting for 0.1% of cases. The
coarctation can present at any age. Hypertension is the most common presenting symptom. All patients with newly
diagnosed hypertension must have a physical examination with assessment of the brachial and femoral pulses and
measurement of brachial and popliteal blood pressures. A thorough physical examination is a crucial first step in
diagnosing aortic coarctation.

Abstract

Coarctation of the aorta (CoA) is a very rare cause of secondary hypertension, accounting for 0.1% of cases. The
coarctation can present at any age. Hypertension is the most common presenting symptom. All patients with newly
diagnosed hypertension must have a physical examination with assessment of the brachial and femoral pulses and
measurement of brachial and popliteal blood pressures. A thorough physical examination is a crucial first step in
diagnosing aortic coarctation.

Get Citation

Keywords

hypertension; aortic coarctation; ABI; lower limb ischaemia

About this article
Title

Refractory hypertension and the lower limbs ischaemia as an aortic coarctation symptom

Journal

Arterial Hypertension

Issue

Vol 23, No 1 (2019)

Article type

Case report

Pages

35-39

Published online

2019-02-22

Page views

681

Article views/downloads

773

DOI

10.5603/AH.a2019.0005

Bibliographic record

Arterial Hypertension 2019;23(1):35-39.

Keywords

hypertension
aortic coarctation
ABI
lower limb ischaemia

Authors

Katarzyna Drożdż
Angelika Chachaj
Paweł Gać
Roland Fiszer
Jacek Białkowski
Andrzej Szuba

References (20)
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  3. Narin N, Onan SH, Baykan A, et al. Transcatheter antegrade perforation and covered stent implantation to subatretic coarctation. Anadolu Kardiyol Derg. 2012; 12(5): 442–443.
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  17. Mancia G, Fagard R, Narkiewicz K, et al. Task Force Members. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013; 31(7): 1281–1357.
  18. Luijendijk P, Bouma BJ, Groenink M, et al. Surgical versus percutaneous treatment of aortic coarctation: new standards in an era of transcatheter repair. Expert Rev Cardiovasc Ther. 2012; 10(12): 1517–1531.
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