A B Figure 1. A. "Surgeon's view" showing the mitral valve isolated cleft within the P2 segment (red arrowhead). AV = aortic valve; AMVL = anterior mitral valve leaflet. B. Color Doppler across mitral valve showing a T-shaped regurgitation. AV = aortic valve; AMVL = anterior mitral valve leaflet; PMVL = posterior mitral valve leaflet; LAA = left atrial appendage. 1
We present the case of a 47-year-old man with hypertension for over 20 years, referred to our hospital due to mild aortic dilatation detected on a transthoracic echocardiogram. On physical examination weak lower limb pulses and a blood pressure differential of >50 mmHg between arms and legs were detected. Complete interruption of the aortic arch below the left subclavian artery was diagnosed by computed tomography angiography. With this case we aim to draw attention to aortic coarctation and interrupted aortic arch as potential causes of hypertension and to highlight the importance of the physical examination in the diagnosis of secondary causes of hypertension.
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