What is it?
A narrowing of the major artery (the aorta) that carries blood to the body.

This narrowing affects blood flow where the arteries branch out to carry blood along separate vessels to the upper and lower parts of the body. CoA can cause high blood pressure or heart damage. Coarctation obstructs blood flow from the heart to the lower part of the body.

Blood pressure increases above the constriction. The blood pressure is much higher than normal in the left pumping chamber (left ventricle) and the heart must work harder to pump blood through the constriction in the aorta. This can cause thickening (hypertrophy) and damage to the overworked heart muscle.

A 26yr, Male patient was admitted with complain of persistent hypertension since 2 yrs and was not on any oral hypertensive. On evaluation it was found out that Renal Artery Doppler suggested Dampened Flow in both renal arteries and absent Femoral Pulsation. On further evaluation CT Aortogram was done which suggested Coarctation of Aorta.

After Heart Team Approach it was decided to stent the lesion as surgery can be morbid involving a lot of bleeding as a lot of collaterals were present. Also patient was grown up adult and aorta didn’t need more growth.

Post procedure patient had Right hemiplegia and CT Angiogram was Suggestive of Thrombus in superior division of Left MCA and patient underwent Mechanical thrombectomy and post procedure patient had improvement in his motor power (4/5) and was treated with conservative medications and discharged after 5 days from ICU.