Lara-Rojas Carmen M, Bernal-Lopez M Rosa, Lopez-Carmona M Dolores, Gomez-Huelgas Ricardo
From the Internal Medicine Department, Biomedical Institute of Malaga (IBIMA), Regional University Hospital of Malaga, Spain (CML-R, MDL-C, G-H); Ciber Fisiopatología de la Obesidad y Nutrición (CB06/003) Instituto de Salud Carlos III, Madrid, Spain (MRB-L, RG-H); and Biomedical Research Laboratory, Internal Medicine Department, Biomedical Institute of Malaga (IBIMA), Regional University Hospital of Malaga, Spain (MRB-L).
Medicine (Baltimore). 2015 Jan;94(4):e467. doi: 10.1097/MD.0000000000000467.
We report the first case of late presentation of familial aortic coarctation, a rare cause of hypertension. Diagnosis of familial aortic coarctation in the elderly is exceptional, given that in the absence of endovascular or surgical repair patients do not usually survive beyond 50 years of age. Our case concerns a 72-year-old woman with hypertension of long evolution, control of which improved markedly after endovascular repair of the coarctation. Her son had undergone surgery for repair of aortic coarctation at the age of 23 years.
我们报告了首例家族性主动脉缩窄的迟发性病例，这是一种罕见的高血压病因。鉴于在没有血管内或手术修复的情况下，患者通常活不过50岁，所以老年患者中诊断出家族性主动脉缩窄的情况极为罕见。我们的病例是一位患有长期高血压的72岁女性，在对缩窄进行血管内修复后，血压控制得到了显著改善。她的儿子在23岁时接受了主动脉缩窄修复手术。
