Case of primary diagnosis of pronounced aortic coarctation in an adult patient
https://doi.org/10.18705/1607-419X-2021-27-2-229-238
Abstract
In the natural course of postductal aortic coarction, the average life expectancy of the patient is 30 years. The quality of life depends largely on the severity of narrowing, the presence of an open arterial duct and the development of collaterals providing blood flow in the descending aortic basin. Adult patients are characterized by hypertension syndrome symptomatic angina pectoris arrhythmias and heart failure. Pathology is diagnosed by means of two-dimensional echocardiography with color dopplerography and three-dimensional and four-dimensional ultrasonic reconstruction. The obtained data are significantly refined and supplemented by magnetic resonance or contrast multispiral computer tomography. Timely and correct diagnosis can save a patient’s life or significantly improve its quality, preventing the consequences of persistent hypertension and the development of heart failure. The present paper considers a clinical case of pronounced aortic coarctation, first diagnosed in a man aged 30 years, previously observed with a diagnosis of hypertension, despite the signs of hypoxemia of the lower half of the trunk. The algorithm of examination is discussed, which provides timely diagnosis of this defect in order to prevent its complications.
About the Authors
J. V. Vakhnenko
Amur State Medical Academy
Russian Federation
Russian Federation
Julia V. Vakhnenko, MD, PhD, Assistant, Department of Internal Diseases with the Course of Pharmacology
95 Gorky str., Blagoveshchensk, 675000 Russia
I. E. Dorovskikh
Amur State Medical Academy
Russian Federation
Russian Federation
Irina E. Dorovskikh, MD, PhD, Head, Diagnostic Department, Clinic of Cardiosurgery
Blagoveshchensk
D. S. Polyakov
Amur State Medical Academy
Russian Federation
Russian Federation
Dmitry S. Polyakov, MD, Radiologist, Clinic of Cardiosurgery
Blagoveshchensk
E. N. Gordienko
Amur State Medical Academy
Russian Federation
Russian Federation
Elena N. Gordienko, MD, PhD, DSc, Professor, Histology and Biology Department
Blagoveshchensk
O. N. Bruyeva
Amur State Medical Academy
Russian Federation
Russian Federation
Olga N. Bruyeva, MD, Senior Cardiologist, Clinic of Cardiosurgery
Blagoveshchensk
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Review
For citations:
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.) https://doi.org/10.18705/1607-419X-2021-27-2-229-238
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