Coarctation of Abdominal Aorta with Renal Artery Stenosis

Abstract

Coarctation of the aorta is a congenital anomaly in which the aorta narrows in the area commonly where the ductus arteriosus inserts. Coarctation of the aorta (CoA) is a relatively common defect accounts for 5-8% of all congenital heart defects. Classic coarctation of the aorta is located in the thoracic aorta distal to the origin of the left subclavian artery. However, rarely a coarcted segment is present in the lower thoracic or abdominal aorta. In such instances, the coarcted segment may be long and fusiform with irregular lumen. Many consider these to be inflammatory or autoimmune in origin, and they may be variants of Takayasu arteritis. Our patient was relatively asymptomatic until she presented with exertional dyspnoea and fatigue in her 2nd decade of life. We have diagnosed her as a case of coarctation of abdominal aorta & both renal arteries stenosis after complete work up.