Abstract

ZIMALKOVSKI, Naomi; PEREZ, Carla; VALVERDE, Marcelo  and  POMI, Alejandro. Hypertension secondary to coarctation of the Aorta in the adult age. Arch. Med Int [online]. 2009, vol.31, n.4, pp.109-112. ISSN 0250-3816.

ABSTRACT: Hypertension (HT) is defined in general practice as a sustained systolic and/ or diastolic blood pressure greater than 140/90 mm Hg and it represents the world ´s most frequent chronic disease. In view of this, the clinical relevance of this pathology is that it represents a mayor modifiable cardiovascular risk factor that increases the individual ACVR having a remarkable impact on morbimortality1. The etiology of HT is unknown in most cases. essential or primary hypertension accounts for more than 85% of the cases. Secondary hypertension refers to hypertension for which there is a known cause, and the prevalence for this condition is from 1 to 15% of the cases. Coarctation of the aorta is one of the many causes of secondary hypertension, accounting for 0.1 to 1% of the cases1, and despite its low frequency, it is clinically relevant for being a correctable and potentially curable cause of hypertension. To reach the diagnosis of aortic coarctation, it is essential a high level of clinical suspicion in order to start the evaluation of the patient and appropriate treatment once the diagnosis is established. We describe herein a case of a young woman, suffering from hypertension in the upper extremities secondary to anaortic coarctation, who presented with a variety of cardiovascular central and periphery clinical manifestations. We present our diagnostic and therapeutic approach emphasizing the role of percutaneous balloon angioplasty (PBA) and collocation of a stent in the coarctation site.

Keywords : secondary arterial hypertension; Aortic coarctation; Percutaneous angioplasty.

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