Lei Gong1,2,3,4, Fuqiang Liu1,2,3,4, Changcun Fang5, Xiaoli Zhang1,2,3,4 and Ling Jiang1,2,3,4*
1Department of Endocrinology, Qilu Hospital of Shandong University, China
2Institute of Endocrine and Metabolic Diseases of Shandong University, China
3Key Laboratory of Endocrine and Metabolic Diseases, China
4Jinan Clinical Research Center for Endocrine and Metabolic Diseases, China
5Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, China
Introduction: Secondary hypertension has many causes, and they vary by age. Coarctation of the Aorta (CoA) is the leading cause of secondary hypertension in adolescents, but it is easily missed. Case Report: Here, we report a case of high blood pressure from CoA. The patient was a 17-year-old male who was admitted to our hospital because of his uncontrolled high blood pressure. Because of his typical signs (upper limb blood pressure higher than lower limb blood pressure, coarse murmurs audible in the chest, and weakened femoral artery pulsation), we screened for CoA specifically. This case was diagnosed as CoA based on Computed Tomography Angiography (CTA) of the thoracic aorta, and other differential diagnoses were ruled out. Stent implantation was carried out, and the patient’s blood pressure was monitored continuously. Anti-hypertensive drugs were used according to circumstances. Normal blood pressure can be maintained by the administration of a small amount of antihypertensive drugs after surgery. Conclusion: This report reminds us to pay close attention to the likelihood of CoA and other lowincidence diseases. Physicians should screen for the causes of secondary hypertension according to the patient’s typical signs and symptoms to avoid overlooking the diagnosis of CoA. Patients get better treatment to maximize patient benefits.
CoA; Secondary hypertension; Adolescents
Gong L, Liu F, Fang C, Zhang X, Jiang L. A Case of a Young Man with Severe Hypertension. Clin Case Rep Int. 2022; 6: 1286.