Multi-Drug-Resistant Hypertension Caused by Severe Aortic Coarctation Presenting in Late Adulthood

作者:Meller Stephanie M; Fahey John T; Setaro John F; Forrest John K*
来源:Journal of Clinical Hypertension, 2015, 17(4): 313-316.
DOI:10.1111/jch.12495

摘要

Aortic coarctation, a congenital narrowing in the region of the ligamentum arteriosium, is a rare etiology for multi-drug-resistant hypertension in adulthood; however, advances in stenting modalities may offer long-term improvements in morbidity and possibly even cure. We report on a female patient in her late 50s presenting with refractory hypertension and severely elevated renin levels, ultimately diagnosed with aortic coarctation and treated with percutaneous stent implantation, which resulted in successful blood pressure control with verapamil monotherapy. This case highlights the efficacy of endovascular stent implantation for t

  • 出版日期2015-4