AN UNEXPECTED CAUSE OF RESISTANT HYPERTENSION IN THE ELDERLY: AORTIC COARCTATION

RECEP KURT, HAKAN GÜNEŞ, HAKKI KAYA

Acta Medica Anatolia - 2016;4(4):164-166

Depertmant of Cardiology, Numune State Hospital, Sivas, Turkey

 

A 68-year-old female patient presented with complaints of dyspnea and weakness in her legs, which had persisted over a period of two months, and intensified when she walked. Her blood pressure, measured in both arms, was high in spite of four the antihypertensive drugs that she was taking and a blood pressure difference of an 80 mmHg was observed between the upper and lower extremities. Echocardiography revealed bicuspid aorta with moderate aortic and mitral valve insufficiency. Cardiac catheterization performed via right femoral artery failed; thus a catheterization via right radial artery was performed which disclosed an image resembling an interrupted aorta. Following thoracic computed tomography, a severe aortic coarctation was seen, and the patient was referred for surgical repair.