• Internal medicine · Apr 2023

    Case Reports

    Asymptomatic Coarctation of the Aorta in Adults with Preserved Exercise Capacity: A Case Report.

    • Haruwo Tashiro, Wakana Sato, Katsuhito Seki, Yuto Ono, Tsukasa Kato, Teruki Sato, and Hiroyuki Watanabe.
    • Division of Advanced Arrhythmia Management, Department of Cardiovascular Medicine, Akita University Graduate School of Medicine, Japan.
    • Intern. Med. 2023 Apr 15; 62 (8): 117111741171-1174.

    AbstractWe herein report a case of coarctation of the aorta (CoA) in an asymptomatic adult who had a preserved exercise capacity. A 56-year-old man with mild hypertension exhibited left ventricular hypertrophy on an electrocardiogram during an annual medical checkup. Echocardiography showed a bicuspid aortic valve and cor triatriatum sinister, and subsequent computed tomography revealed CoA with developed collaterals. Cardiopulmonary exercise testing showed a good exercise capacity. He refused surgical repair and has been asymptomatic for five years. This case is of special interest, as CoA is usually rarely noticed during adulthood if there are no severe congenital anomalies, and in addition, this patient had good exercise capacity.

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