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  • Title: Atypical coarctation of the abdominal aorta as a cause of acute hypertensive heart failure.
    Author: Kodama K, Murata H, Hiratsuka M, Kakitsubata S, Yoshida T, Onitsuka T, Koga Y.
    Journal: Jpn Heart J; 1991 Mar; 32(2):273-9. PubMed ID: 1676764.
    Abstract:
    A case of atypical coarctation of the suprarenal aorta with symptoms of acute hypertensive heart failure is reported. A 62-year-old man was admitted because of dyspnea associated with severe hypertension. Chest x ray demonstrated mild pulmonary congestion. Following antihypertensive management, symptoms of congestive heart failure improved. Abdominal computed tomography and digital subtraction angiography undertaken several days later demonstrated a narrowed segment of the suprarenal aorta. Control of hypertension was poor with currently available antihypertensives and a bilateral axillo-femoral bypass operation with artificial grafts was undertaken. Postoperative blood pressure was maintained at a normal level with a small dose of atenolol. The patient had an uneventful hospital course and remains well.
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