A case of late diagnosis of postductal aortic coarctation in an elderly patient
Abstract
The aim of the work is to consider the main issues of pathogenesis, clinical picture, methods of diagnosis of aortic coarctation on the example of a clinical case.
In the presented observation, an aortic pathology was suspected for the first time in a patient aged 65 years old during an examination for unstable angina pectoris during routine fibroesophagogastroduodenoscopy. Subsequently, the diagnosis of aortic coarctation was confirmed using multispiral computed tomographic angiography.
Routine follow-up by primary care physicians of a patient with long-term aortic coarctation did not allow the diagnosis to be established at the early stages of the disease and led to multiple complications. An accidental finding during an endoscopic examination of the esophagus and an additional examination by radiation methods made it possible to make a diagnosis.
Сonclusion. This clinical example confirms that multispiral computed tomographic angiography has great diagnostic capabilities that should be used in case of suspected congenital heart defects and for detailing abnormalities of the cardiovascular system.
About the Authors
I. E. Nikolaeva
ГБУЗ «Республиканский кардиологический центр»
Russian Federation
Russian Federation
P. L. Malyshev
ГБУЗ «Республиканский кардиологический центр»
Russian Federation
Russian Federation
Z. R. Garaeva
ГБУЗ «Республиканский кардиологический центр»
Russian Federation
Russian Federation
References
1. Kurochkin S.V., Zidikhanov D.I. Computed tomography angiography in the diagnosis of coarctation of the aorta. Complex Issues of Cardiovascular Diseases. 2017;6(4):169-175. (In Russ.)
2. Rekomendatsii ESC po diagnostike i lecheniyu zabolevanii aorty 2014 (ESC Guidelines for the diagnosis and Treatment of aortic diseases 2014). Rossiiskii kardiologicheskii zhurnal. 2015;20(7):7-72. (In Russ.)
3. Mohinani A.B., Mansoor A.M. Coarctation of the aorta diagnosed in adulthood. BMJ Case Reports CP 2024; 17:e261566. (in Engl)
4. Bockeria L.A., Abdulgasanov R.A., Ivanov A.V., Arakelyan V.S. Results of surgical and endovascular treatment of aortic coarctation. Grudnaya i serdechno-sosudistaya khirurgiya. 2019; 61(5):406-414. (In Ruѕѕ.) https://doi.org/10.24022/0236-2791-2019-61-5-406-414
5. Bagmanova N.H., Mirilashvili T.Sh. Coarctation of the aorta in a patient with arterial hypertension and a bivalve aortic valve. Trudniy Patsient = Difficult Patient. 2017;15(6–7):5–7. (In Russ.)
6. Evdokimov A.G., Topolyanskii V.D. Bolezni arterii i ven (Diseases of the arteries and veins). Moskva: MEDpress-inform, 2012:253. (In Russ.)
7. Vakhnenko J.V., Dorovskikh I.E., Polyakov D.S., Gordienko E.N., Bruyeva O.N. Case of primary diagnosis of pronounced aortic coarctation in an adult patient. Arterial’naya Gipertenziya = Arterial Hypertension. 2021;27(2):229–238. (In Russ.)
8. Alekyan B.G., Pursanov M.G., Podzolkov V.P., Grigoryan A.M., Dadabaev M.N., Sandodze T.S. [et al.] Stenting in coarctation syndrome. Endovaskulyarnaya Khirurgiya = Endovascular Surgery. 2015;2(1–2):32–43. (In Russ.)
9. Pokrovskii A.V., Abakumov M.M., Aliev M.M. [et al.] Klinicheskaya angiologiya: rukovodstvo dlya vrachei: v 2 tomakh (Clinical Angiology: a guide for doctors: in 2 volumes); pod redaktsiei A. V. Pokrovskogo. Tom 1. Moskva: Izdatel'stvo «Meditsina». 2004:612–626. (In Russ.)
10. Kornilov IA, Sinelnikov YuS, Soynov IA, [et al.] Risk assessment of renal and neurological complications in newborn after aortic reconstruction. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2015;19(1):84-9. (In Russ.) Soynov I.A., Kulyabin Yu.Yu., Omelchenko A.Yu., Nichay N.R., Voytov A.V., Gorbatykh A.V. [et al.] Patient’s life quality after correction of aortic coarctation. Medicinskiy almanakh. 2017; 3(4): 38-40. (in Russ.) https://doi.org/10.21145/2499-9954-2017-3-38-40
11. Soynov I.A., Arkhipov A.N., Kulyabin Yu.Yu., Gorbatykh Yu.N., Kornilov I.A., Omelychenko A.Yu., Bogachev-Prokofyev A.V. Arterial hypertension in children after aortic coarctation repair: current challenges for diagnostics and treatment. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2018;22(4):21-34. (In Russ.)
12. Bokeriya L.A. [et al.] Koarktatsiya aorty. Klinicheskie rekomendatsii (Coarctation of the aorta. Clinical recommendations). Moskva, 2023. [Electronic resource] URL: https://racvs.ru/upload/kr/kr754.pdf Accessed 20.01.25. (In Russ.)
13. Bokeriya L.A. [et al.] Koarktatsiya aorty. Klinicheskie rekomendatsii (Coarctation of the aorta. Clinical recommendations). Moskva, 2023. [Electronic resource] URL: https://racvs.ru/upload/kr/kr754.pdf Accessed 20.01.25. (In Russ.)
Review
For citations:
Nikolaeva I.E., Malyshev P.L., Garaeva Z.R. A case of late diagnosis of postductal aortic coarctation in an elderly patient. Bashkortostan Medical Journal. 2025;20(1):93-97. (In Russ.)
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