Giant Localized Atheroma Mimicking a Coarctation of the Aorta: A Rare Entity to Consider

Hugues Lucron; Bruno Sanchez; Marianna Stamatelatou; François Roques; Saskia Tuttle; Alix le Harivel de Gonneville; Mélanie Brard; Fabio Cuttone

doi:10.1016/j.jaccas.2022.03.025

Giant Localized Atheroma Mimicking a Coarctation of the Aorta: A Rare Entity to Consider

JACC Case Rep. 2022 May 18;4(10):587-591. doi: 10.1016/j.jaccas.2022.03.025.

Authors

Hugues Lucron¹, Bruno Sanchez², Marianna Stamatelatou¹, François Roques², Saskia Tuttle¹, Alix le Harivel de Gonneville¹, Mélanie Brard¹, Fabio Cuttone²

Affiliations

¹ Antilles-Guyane M3C Pediatric and Congenital Cardiology Center, University Hospital of Martinique, Fort-de-France, Martinique (FWI), France.
² Department of Cardiac, Thoracic, and Vascular Surgery, University Hospital of Martinique, Fort-de-France, Martinique (FWI), France.

Abstract

We describe the case of a patient who developed resistant hypertension due to a giant atheroma with acquired physiologic mimic of coarctation of the aorta. This presentation illustrates an extremely rare etiology to consider in adults in whom aortic isthmus stenosis remains often of congenital origin. (Level of Difficulty: Intermediate.).

Keywords: BP, blood pressure; COA, coarctation of the aorta; CT, computed tomography; LV, left ventricle; RH, resistant hypertension; TA, Takayasu’s arteritis; aorta; aortic coarctation; atherosclerosis; hypertension; thrombosis.

Publication types

Case Reports