A65-year-old woman was admitted to our department because of chest pain and untreated hypertension. She had been well until 6 years previously when a diagnosis of hypertension was made. She reported poor control of blood pressure associated with leg weakness in coincidence with tentatively aggressive anti-hypertensive therapy. Aclinical diagnosis of aortic coarctation was made [1], and a spiral TC study revealed a stenosis of the aorta 2 cm below the origin of the subclavia; a 2 cm aneurysm was present in the proximity of the stenosis (Fig. 1, white arrow) and epiaortic arteries were dilated.
Aortic coartaction in the elderly: how many errors lie behind an unexpected diagnosis? / Iuliano, Luigi; Micheletta, F; Natoli, S; Tramaglino, L; Greco, Cesare; Modesti, Pa. - In: INTERNAL AND EMERGENCY MEDICINE. - ISSN 1828-0447. - ELETTRONICO. - Oct;2(3):(2007), pp. 207-209. [10.1007/s11739-007-0059-2]
Aortic coartaction in the elderly: how many errors lie behind an unexpected diagnosis?
IULIANO, Luigi;GRECO, Cesare;
2007
Abstract
A65-year-old woman was admitted to our department because of chest pain and untreated hypertension. She had been well until 6 years previously when a diagnosis of hypertension was made. She reported poor control of blood pressure associated with leg weakness in coincidence with tentatively aggressive anti-hypertensive therapy. Aclinical diagnosis of aortic coarctation was made [1], and a spiral TC study revealed a stenosis of the aorta 2 cm below the origin of the subclavia; a 2 cm aneurysm was present in the proximity of the stenosis (Fig. 1, white arrow) and epiaortic arteries were dilated.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
