Back to Search
Start Over
Adult aortic coarctation presenting with refractory heart failure and pulsation below the bilateral clavicle
- Source :
- Journal of Cardiology Cases. 18:85-87
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Adult aortic coarctation is often asymptomatic and this condition can be detected because of a murmur or unexplained hypertension. Here, we report an adult case of aortic coarctaion with heart failure and a characteristic finding of pulsation below the bilateral clavicle. A 58-year-old man with refractory heart failure due to unknown reasons was referred to our hospital. Auscultation presented no murmur and high blood pressure had been treated with medicine. Interestingly, precise physical examination revealed the bilateral pulsation at the midclavicular line from the 2nd to the 5th intercostal areas. Echographic examination revealed the dilated vessel and arterial blood flow 1–2 cm in depth from the body surface at the midclavicular 2nd intercostal areas. Contrast-enhanced computed tomography showed thoracic aortic coarctation and a well-developed collateral circulation via the bilateral internal thoracic arteries and epigastric arteries. The cause of heart failure was diagnosed as aortic coarctation. Palliative revascularization was performed and his blood pressure was lowered. When we see the patients with refractory heart failure due to unknown reasons, pulsation below the bilateral clavicle may give us a clue to diagnose the “hidden” aortic coarctation.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Physical examination
030204 cardiovascular system & hematology
Revascularization
Asymptomatic
Article
03 medical and health sciences
0302 clinical medicine
Internal medicine
Medicine
030212 general & internal medicine
medicine.diagnostic_test
business.industry
Auscultation
medicine.disease
Collateral circulation
medicine.anatomical_structure
Blood pressure
Clavicle
Heart failure
cardiovascular system
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 18785409
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiology Cases
- Accession number :
- edsair.doi.dedup.....6f021d0ec2e29d01790a26a8c7104a57