Abstract

We present a unique case of late diagnosis of coarctation of the aorta in an adult, presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency. To minimize operative risk, staged endovascular repair of the coarctation was initially performed, followed by aortic valve replacement and mitral valve repair. Six months postoperatively, the 41-year-old patient remains completely asymptomatic.

Highlights

  • Coarctation of the aorta (CoA) accounts for 5 to 8% of congenital heart defects and is typically diagnosed in infancy or childhood

  • We present a unique case of late diagnosis of coarctation of the aorta in an adult, presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency

  • We present a unique case of a late diagnosis of CoA presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency, treated with staged endovascular repair of the CoA followed by aortic valve replacement and mitral valve repair

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Summary

Introduction

Coarctation of the aorta (CoA) accounts for 5 to 8% of congenital heart defects and is typically diagnosed in infancy or childhood. We present a unique case of late diagnosis of coarctation of the aorta in an adult, presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency.

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Conclusion
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