The case of primary diagnosis of aortic coarctation in a 39-year-old woman

Abstract

Article presents a clinical case report of late aortic coarctation (CoA) diagnosis of a 39-year-old woman. Considering that CoA is a rare congenital pathology, diagnosed and corrected mainly in childhood, physicians supervising patients over 18 years of age often exclude this disease from their diagnostic search. Meanwhile, the reported clinical case demonstrates specificcomplaints and features of the anamnesis, if were analyzed carefully would allow to establish a diagnosis much earlier. The main purpose of the publication is to remind primary care physicians about measuring blood pressure in the upper and lower extremities of young patients with arterial hypertension, without a history of aggravated cardiovascular diseases, and also to have the most common causes of secondary hypertension to be excluded: the endocrine system, kidneys and their vessels pathologies. In addition, the authors raise a number of interesting practical questions arising from the presented clinical case and give detailed answers in the discussion part of the article.