Key result
Surgical repair of an incidentally discovered aortic coarctation two months after delivery led to the normalization of blood pressure without the need for antihypertensive medication.
Case Report (n=1)
This case highlights that resistant hypertension in young adults justifies the search for a curable cause such as aortic coarctation.
May support repair of incidental coarctation in postpartum hypertension; hypothesis-generating and requires prospective confirmation.
Background Coarctation of the aorta is a narrowing of the aorta most commonly found just distal to the origin of the left subclavian artery. This malformation is mostly discovered in the birth by the systematic palpation of the femoral pulses, but can be later diagnosed at the big child’s even at the adult. Casa Presensation: We report here the case of a 32-year-old young man, who is treated for hypertension since two years and to whom a thoracic scanner realized for the assessment of a chronic cough revealed an aortic coarctation. Conclusions This observation reminds us that resistant hypertension in young adults justifies the search for a curable cause. Concerning the association between pregnancy and aortic coarctation, the literature, less alarming than twenty years ago, encourages a wait-and-see and "armed" attitude by favouring a natural delivery.
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Nassour Brahim (2023) conducted a case report in Coarctation of the aorta (n=1). Surgical repair with aortaortic tube placement was evaluated on Blood pressure normalization. Surgical repair of an incidentally discovered aortic coarctation two months after delivery led to the normalization of blood pressure without the need for antihypertensive medication.
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