A young patient with atrial fibrillation, renal infarction, and acute cerebellar infarction: aortic coarctation associated with secondary hypertension

Cardiol Young. 2025 Jul;35(7):1507-1509. doi: 10.1017/S1047951125100930. Epub 2025 Jul 11.

Abstract

Coarctation of the aorta is characterised by narrowing of the descending aorta and is a rare cause of secondary hypertension in children and young adults. The aortic stenosis lesion is in a special location with severe consequences, and long-term survival is very low, with high rates of disability and mortality, and can be challenging to detect due to its few clinical manifestations. We report a case of a young patient with atrial fibrillation, renal infarction, and acute cerebral infarction, which are consequences of untreated hypertension due to coarctation of the aorta. The purpose of this report is to emphasize the importance of early diagnosis and management of coarctation of the aorta as a cause of secondary hypertension in children and young adults.

Keywords: Secondary hypertension; acute cerebral infarction; aortic coarctation; atrial fibrillation; renal infarction.

Publication types

  • Case Reports

MeSH terms

  • Aortic Coarctation* / complications
  • Aortic Coarctation* / diagnosis
  • Aortic Coarctation* / diagnostic imaging
  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / diagnosis
  • Atrial Fibrillation* / etiology
  • Cerebral Infarction* / etiology
  • Humans
  • Hypertension* / complications
  • Hypertension* / diagnosis
  • Hypertension* / etiology
  • Infarction* / diagnosis
  • Infarction* / etiology
  • Kidney* / blood supply
  • Male