Traitement de la coarctation native de l’aorte de l’adulte

Atypical Coarctation of the Aorta Revealed by Arterial Hypertension in a 22-Year-Old Young Man

“…The electrocardiogram typically shows signs of left ventricular hypertrophy or insufficiency [12], as was the case in our patient. In other cases, rapid supraventricular tachycardia with haemodynamic intolerance has been found [7].…”

“…Although MRI is generally preferred to reduce radiation exposure during repeated examinations, an angioscanner is more widely available [11]. In addition to making a positive diagnosis, it provides the necessary information on the location of the stenosis, its diameter, the length of the narrowed segment, the diameter of the upstream and downstream aortic segments, and collaterality, which will be a major factor in the indication and therapeutic strategy [12].…”

“…Without treatment, the prognosis for this disease is poor: 90% of patients die before the age of 58. The main causes of death are early coronary artery disease, left ventricular failure, aortic rupture or dissection, and ruptured intracranial aneurysms [12].…”

“…Hypertension is common after aortic coarctation repair, particularly during exercise and when the repair is performed in adults. Ambulatory blood pressure monitoring and exercise testing are useful for diagnosis and management [12].…”