Subarachnoid hemorrhage revealing aortic coarctation in a young man

Assessment of the Cerebral Circulation in Adults with Coarctation of the Aorta

“…10 Numerous case reports also describe the diagnosis of CoA presenting with aneurysmal subarachnoid hemorrhage. [11][12][13][14][15][16][17][18][19] (Table 1) This an uncommon presentation but can be potentially fatal or severely disabling if not recognized. Together these findings raise the important question if screening is warranted in this population.…”

“…Prior studies have described a fivefold increase in the frequency of intracranial aneurysms (IAs) in patients with CoA compared with the general population . Numerous case reports also describe the diagnosis of CoA presenting with aneurysmal subarachnoid hemorrhage . (Table ) This an uncommon presentation but can be potentially fatal or severely disabling if not recognized.…”

Risk of Systemic Hypertension and Cerebrovascular Accident in Patients With Aortic Coarctation Aged <60 Years (from a National Database Study)

“…In prior CHD case reports, intracranial aneurysms or the presenting CVA are mostly described in patients with CoA, and sometimes in patients with cyanotic CHD, such as truncus arteriosus, transposition of great arteries. [8][9][10][11][12][13][22][23][24] The embryological basis for such association between CoA (or other CHD) and intracranial aneurysm remains unclear. Besides, we also found that age was a risk factor for CVA in the whole CHD cohort.…”

“…8 CoA patients may even present with aneurysmal cerebral or subarachnoid hemorrhage. [11][12][13] Given all these findings, we may suggest that hypertension in CoA patients, who have systemic arteriopathy, further increases the risk of CVA and should be aggressively controlled.…”

“…9 With coexisting hypertension, these patients might be at a higher risk of intracranial hemorrhage or cerebrovascular accident (CVA) from these aneurysms. [11][12][13] However, the incidence and the relative risk of these complications, particularly the CVA, in CoA patients remain still unclear.…”