Key result
Physical examination in an unscreened middle-aged immigrant with hypertension led to the incidental diagnosis and subsequent surgical treatment of coarctation of the aorta.
Why the study?
Coarctation of the aorta rarely presents in adulthood in Canada due to early childhood screening, but may be detected in unscreened immigrant populations through physical examination.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
This case highlights the critical role of thorough physical examination in detecting asymptomatic, life-threatening congenital conditions like coarctation of the aorta in unscreened immigrant populations.
Coarctation of the aorta is narrowing of the aorta that impedes normal blood flow. This condition is associated with a high mortality rate if untreated. It rarely presents in adulthood, especially in Canada, due to early childhood screening. We report a case of a middle-aged newly immigrated gentleman with a history of hypertension who was incidentally found to have some physical examination findings concerning for coarctation of the aorta. Subsequent imaging studies not only confirmed this diagnosis but also found other cardiac complications commonly associated with it. Recently, he underwent surgical intervention, significantly impacting his mortality and morbidity. Our aim through this case report is to emphasize the importance of physical examination findings to detect such cases in unscreened immigrant populations.
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Javed et al. (2018) conducted a case report in Coarctation of the aorta (n=1). Physical examination was evaluated. Physical examination in an unscreened middle-aged immigrant with hypertension led to the incidental diagnosis and subsequent surgical treatment of coarctation of the aorta.
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