Postcoarctation Syndrome Following Aortic Stenting in a Patient with Mid-aortic Syndrome Secondary to Takayasu Arteritis

Abstract

Abstract Balloon angioplasty and stenting have become established interventions for addressing aortic stenosis resulting from Takayasu arteritis. We present a case of a 23-year-old woman with a history of Takayasu arteritis who presented with refractory hypertension due to stenosis in the descending thoracic aorta. Endovascular treatment involving balloon angioplasty and stenting was successfully performed, resulting in the normalization of her blood pressure. However, within 18 h postprocedure, the patient developed severe abdominal pain. Despite transabdominal ultrasonography, the source of pain remained elusive. Postcoarctation syndrome was considered a potential diagnosis, prompting the initiation of treatment with angiotensin receptor inhibitors. Subsequently, the patient experienced a reduction in pain, and her condition stabilized, leading to her discharge in a satisfactory state.