Key result
Multimodal imaging-guided anatomical intervention improves BP control post-aortic coarctation repair but requires ongoing surveillance.
Case Report (n=1)
Multimodal imaging is essential for diagnosing clinically significant aortic coarctation in patients with prior aortic surgery presenting with resistant hypertension.
No takes yet. Share an insight, caveat, or question.
Supports multimodal imaging to guide intervention after coarctation repair in resistant hypertension; reinforces BP benefit while stressing ongoing surveillance.
BACKGROUND: Traumatic aortic injury is the second most common cause of death after blunt trauma in motor vehicle accidents. Aortic coarctation leading to resistant hypertension is a rare late complication of aortic repair. CASE SUMMARY: We present a case of a 50-year-old male with previous history of aortic repair presenting with resistant hypertension. Multimodal imaging with computed tomography angiography and cardiac magnetic resonance imaging revealed focal narrowing of the proximal descending thoracic aorta requiring surgical repair. DISCUSSION: This case highlights the importance of a multimodal diagnostic approach to diagnose clinically significant aortic coarctation and underscores the need for vigilance for secondary causes of resistant hypertension. TAKE-HOME MESSAGES: In the workup of resistant hypertension in patients with prior aortic surgery, the use of multimodal imaging to assess stenosis, graft status, and collaterals is essential. Anatomical intervention leads to improved blood pressure control; however, postrepair surveillance for hypertension and vascular is critical.
Talukder et al. (2026) conducted a case report in Resistant hypertension and aortic coarctation (n=1). Multimodal imaging (computed tomography angiography and cardiac magnetic resonance imaging) was evaluated on Diagnosis of focal narrowing of the proximal descending thoracic aorta.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: