Severe Coronary Artery Disease and Nearly Atretic Aortic Coarctation in a Young Woman.

ABSTRACT:

Background

Coarctation of the aorta is associated with long-term cardiovascular complications, including hypertension and early onset atherosclerosis.

Case summary

A 36-year-old woman with persistent hypertension after preeclampsia presented with chest pain. Electrocardiogram showed left ventricular hypertrophy with signs of ischemia. Echocardiography revealed a bicuspid aortic valve; however, the aortic arch was poorly seen. Coronary computed tomography identified severe left anterior descending artery stenosis with thoracic collaterals. During angioplasty, guidewire misdirection uncovered nearly atretic aortic coarctation, successfully stented a few days later.

Discussion

This case illustrates how aortic coarctation can remain undetected until adulthood. It causes l

SUBMITTER: Ghardallou H 

PROVIDER: S-EPMC12905720 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature