Cor Vasa 2017, 59(2):e171-e173 | DOI: 10.1016/j.crvasa.2016.04.007

Midaortic syndrome in a young man: Case presentation

Camelia C. Diaconu

Internal Medicine Clinic, University of Medicine and Pharmacy Carol Davila, Clinical Emergency Hospital of Bucharest, Romania

Aortic coarctation is a congenital narrowing of the aorta, usually diagnosed during childhood. In a minority of cases, this malformation is detected during adulthood, by late complications such as systemic hypertension or intracranial aneurysm rupture. We present the case of a 31-year-old man, without past medical history, who presented for headache and increasing fatigue. The physical exam revealed high blood pressure values and weak femoral pulses in both legs. Abdominal ultrasonography identified stenosis of abdominal aorta, after the origin of the celiac trunk. Aortography confirmed the coarctation and revealed also an occlusion of the superior mesenteric artery, with an aneurysm of the right renal artery. The hypertension was treated with an angiotensin converting enzyme inhibitor. Because the blood pressure was controlled with medication and the patient did not have symptoms of digestive claudication, the surgical revascularization was postponed and monitoring was preferred in this patient.

Keywords: Aortography; Hypertension; Midaortic syndrome

Received: January 18, 2016; Revised: April 25, 2016; Accepted: April 27, 2016; Published: April 1, 2017  Show citation