Coarctation of the aorta (CoA) is a narrowing of the aorta usually in the area of the ligamentum arteriosum.
1 A CoA is considered significant if an invasively determined pressure gradient of more than 20 mmHg is present. When left untreated CoA can cause left ventricular pressure overload leading to left ventricular hypertrophy, premature coronary artery disease and eventually heart failure.
2 Nowadays, CoA is usually diagnosed in childhood. However, after successful repair of a CoA, there are many associated problems and long-term complications that can occur even decades later. Cardiologists should be aware of these complications. We would like to illustrate this with the following case report. …