Coarctation of aorta presenting as systemic hypertension in a young adult: A case report

A 33-year-old male who was under investigation for young onset hypertension for nine years had weak lower limb pulse and radio femoral delay on examination. Transthoracic echocardiogram revealed a bicuspid aortic valve, and a CT aortogram detected coarctation of the aorta at the junction of the aortic arch and descending thoracic aorta.Coarctation of the aorta is a rare secondary cause of hypertension in young. Symptoms of presentation may vary depending on the site and severity of coarctation. But the commonest presentation is hypertension in the upper extremity of the body. It could be associated with structural heart disease; the commonest is the bicuspid aortic valve. Treatment options for coarctation of the aorta include balloon angioplasty and surgical repair. Lifelong follow-up is needed in both treatment modalities, even after successful correction.