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

Yıl 2019, Cilt: 22 Sayı: 2, 130 - 133, 15.08.2019

Hicaz Zencirkıran Agus Mustafa Yıldız Serkan Kahraman Özgür Sürgit Cemil Can

Öz

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.

Anahtar Kelimeler

Aortic coarctation, atrial tachycardia, radiofrequency catheter ablation

Atriyal Taşikardi ile Başvuran Hastada Aort Koarktasyonu Tanısı

Öz

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.

Anahtar Kelimeler

Aort koarktasyonu, atriyal taşikardi, radyofrekans kateter ablasyonu

Kaynakça

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