An Unusual Diagnosis of Aortic Coarctation in a Patient with Atrial Tachycardia

Abstract

In the present report, we describe a rare coexistence of atrial tachycardia (AT) in a patient with aortic coarctation (AoC). Adults with undiagnosed AoC are usually asymptomatic or may present with hypertension. A 45-year-old female presented to the emergency department with acute onset supraventricular tachycardia. While ablating AT, we diagnosed AoC. Radiofrequency catheter ablation and implantation of a stent across the coarctation segment was successfully performed. Thus, a young patient with resistant hypertension and cardiac murmur should be a sufficient clue for the suspicion of AoC.

Keywords

• Aortic coarctation,atrial tachycardia,radiofrequency catheter ablation

Atriyal Taşikardi ile Başvuran Hastada Aort Koarktasyonu Tanısı

Abstract

Bu olguda atrial taşikardi ve aort koarktasyonunun birlikte görüldüğü nadir bir olguyu sunduk. Tanısı henüz koyulmamış aort koarktasyonu olan yetişkinler genellikle asemptomatiktir ya da hipertansiyonla gelebilirler. Kırk beş yaşında kadın hasta acil servise akut başlangıçlı supraventriküler taşikardi ile başvurdu. Atrial taşikardi ablasyonu yapılırken hastada aort koarktasyonu olduğu teşhis edildi. Radyofrekans kateter ablasyonu ve koarktasyon segmentine stent implantasyonu başarılı bir şekilde gerçekleştirildi. Dirençli hipertansiyonu ve kardiyak üfürümü olan genç bir hastada aort koarktasyonu olabileceği akla gelmelidir.

Keywords

• Aort koarktasyonu,atriyal taşikardi,radyofrekans kateter ablasyonu

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