Key result
Emergency aortic stent placement and hematoma removal in a 45-year-old male with aortic coarctation and spinal hemorrhage resulted in survival with residual lower-extremity paraplegia.
Case Report (n=1)
Chest pain accompanied by lower limb paraplegia should prompt consideration of aortic coarctation complicated by spinal hemorrhage.
BACKGROUND Coarctation of the aorta is characterized by narrowing of the descending aorta. The narrowing typically is at the isthmus, the segment just distal to the left subclavian artery. Adults with undiagnosed aortic coarctation are asymptomatic or may present with nonspecific hypertension. We present a case that highlights the uncommon complication of aortic coarctation with spinal compression syndrome. CASE REPORT A 45-year-old male presented to the emergency department (ED) with acute-onset chest pain; he experienced urinary incontinence and bilateral lower limb weakness during his ED visit. Chest CT showed coarctation of the aorta and MRI of the spine showed an epidural nodular lesion. He received emergency aortic stent placement surgery, followed by successful hematoma removal and was discharged with residual lower-extremity paraplegia. CONCLUSIONS Chest pain with lower limb paraplegia presentation should consider aortic coarctation complicated with spinal hemorrhage as a possible cause.
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Chiu et al. (2017) conducted a case report in Aortic coarctation with spinal compression syndrome (n=1). Emergency aortic stent placement surgery and hematoma removal was evaluated on Clinical outcome (discharge status). Emergency aortic stent placement and hematoma removal in a 45-year-old male with aortic coarctation and spinal hemorrhage resulted in survival with residual lower-extremity paraplegia.
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