biostudies-literatureUnknown31(6)Ghardallou H<h4>Background</h4>Coarctation of the aorta is associated with long-term cardiovascular complications, including hypertension and early onset atherosclerosis.<h4>Case summary</h4>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.<h4>Discussion</h4>This case illustrates how aortic coarctation can remain undetected until adulthood. It causes lJACC. Case reports106323https://www.ebi.ac.uk/biostudies/studies/S-EPMC12905720biostudies-literatureSevere Coronary Artery Disease and Nearly Atretic Aortic Coarctation in a Young Woman.PMC12905720Ghardallou HNeffati EBen Saad SGhedhami EChelly ASlim MfalseSevere Coronary Artery Disease and Nearly Atretic Aortic Coarctation in a Young Woman.<h4>Background</h4>Coarctation of the aorta is associated with long-term cardiovascular complications, including hypertension and early onset atherosclerosis.<h4>Case summary</h4>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.<h4>Discussion</h4>This case illustrates how aortic coarctation can remain undetected until adulthood. It causes l2026-01-01T00:00:00Z2026 Feb2026-07-07T03:11:59.945Z2026-07-07T03:08:20.837ZS-EPMC129057204134280510.1016/j.jaccas.2025.106323