Un-diagnosed coarctation of the aorta in a 27-Years-Old adult with a rare presentation: a rare case report

Abstract

Introduction and importance: Coarctation of the aorta (COA) is a rare form of congenital heart disease that is typically diagnosed in children. Coarctation of the Aorta (COA) is known to present with hypertension, weak or absent femoral pulses, heart failure in older patients, but the presentation of COA as calf atrophy is extremely rare. This article reports the successful surgical repair of a 27-year-old adult with undiagnosed COA. Case Presentation: A 27-Years-Old-male has presented with calf atrophy, which was diagnosed as Coarctation of the aorta Transthoracic echocardiography and computed tomography angiography indicate Coarctation of the aorta(COA), which is treated with successful surgical repair. Clinical Discussion: Coarctation of the aorta (COA) is typically diagnosed in children with a rare incidence in adults. Calf atrophy is an extremely rare presentation and uncommon. He has calf atrophy which led to the diagnosis of Coarctation of the aorta (COA) in 27 years. The presentation in this medium-aged population with this rare manifestation gives our case significance to be one of the unique reported cases. Conclusion: Coarctation of the aorta (COA) is uncommon to be found in adults and the presentation with calf’ atrophy is even rare. We revealed that Coarctation of the aorta (COA) can be found in adults and with an unexpected manifestation and highlights the significance of early detection, and timely referral to a specialist can enable proper management, which includes surgical correction.