Adult aortic coarctation presenting with refractory heart failure and pulsation below the bilateral clavicle.

ABSTRACT: Adult aortic coarctation is often asymptomatic and this condition can be detected because of a murmur or unexplained hypertension. Here, we report an adult case of aortic coarctaion with heart failure and a characteristic finding of pulsation below the bilateral clavicle.　 A 58-year-old man with refractory heart failure due to unknown reasons was referred to our hospital. Auscultation presented no murmur and high blood pressure had been treated with medicine. Interestingly, precise physical examination revealed the bilateral pulsation at the midclavicular line from the 2nd to the 5th intercostal areas. Echographic examination revealed the dilated vessel and arterial blood flow 1-2 cm in depth from the body surface at the midclavicular 2nd intercostal areas. Contrast-enhanced computed tomog

SUBMITTER: Inoue T 

PROVIDER: S-EPMC6149605 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature