Abstract
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.
Keywords
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Article info
Publication history
Published online: May 28, 2022
Accepted:
April 25,
2022
Received in revised form:
April 13,
2022
Received:
September 19,
2021
Identification
Copyright
© 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. All rights reserved.
