A 56-year-old man with coarctation of the aorta with refractory
AbstractA 56-year-old man was admitted to our hospital for a complain of
headache with a history of one week. He had a history of hypertension
for more than 30 years, but his blood pressure was not well controlled
with medication. After admission, it was found that his blood pressure
of the lower limbs was obvious lower than that of the upper limbs.
Further chest CT examination revealed that his descending aorta was
severely stenosis with calcification, which may be account for his high
blood pressure in upper limbs. After careful evaluation of the patient's
condition, we finally adopted interventional therapy and achieved good
results. After operation, the patient's upper limbs blood pressure
returned to normal, and the blood pressure gradient difference between
the upper and lower limbs disappeared.