Individually there is nothing unique about the age of 57 years, incapacitating hypertension, or coarctation of the aorta. However, the association of these three and relief of the latter two by a surgical procedure at an age when operation is not usually advised is sufficiently provocative to warrant detailed consideration.
Report of a Case
A 57-year-old man had been observed at the University of Kansas Medical Center since 1954, at which time he had been given a diagnosis of coarctation of the aorta. He had known of his hypertension since the age of 18 years. His complaints were of exertional dyspnea, fatigue, headaches, and vertigo and had been particularly severe since 1951. Angina occurred with exertion. In 1955, he had an episode of sudden headache, nausea, dizziness, and slurred speech which was diagnosed as a cerebral thrombosis. Coldness and exertional claudication of his legs had been present for many years.
Kittle CF, Crockett JE, Dimond EG. COARCTATION REPAIR WITH RELIEF OF HYPERTENSION: REPORT OF A CASE IN A FIFTY-SEVEN-YEAR-OLD MAN. JAMA. 1958;168(15):2006–2008. doi:10.1001/jama.1958.63000150001012
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