Case Report| Volume 26, ISSUE 3, P200-203, September 2022

Paraparesis in adult aortic coarctation: Reversal by stent supported angioplasty


      Aortic coarctation presenting with neurological complications as compressive myelopathy is rare. We report a case of a 43-year-old, hypertensive, female who presented with gradually progressive paraparesis over 4 years. She was diagnosed to be having coarctation of the aorta with intra-spinal collaterals causing compressive myelopathy. She underwent successful percutaneous endovascular implantation of a balloon-expandable aortic stent to relieve her aortic coarctation. This led to regression of her intra-spinal collaterals relieving her cord compression. This nonsurgical modality treatment proved to be safe and effective in relieving her hypertension and neurological complication of paraparesis.

      Learning objectives

      • To recognize that paraparesis can be a rare manifestation of coarctation of the aorta.
      • To highlight the importance of treating the primary pathology of coarctation of the aorta in such critically ill therapeutically challenging patients.


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