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Medical management of coral reef aorta through optimised diuretic use and angiotensin receptor blockade
  1. Nicodemus Edrick Oey1,
  2. Haresh Tulsidas2 and
  3. Krithikaa Nadarajan2
  1. 1Department of Rehabilitation Medicine, Singapore General Hospital, Singapore
  2. 2Department of Internal Medicine, Singapore General Hospital, Singapore
  1. Correspondence to Dr Krithikaa Nadarajan; krithikaa.nadarajan{at}


Coral reef aorta (CRA) is a rare condition with potentially devastating complications. It is characterised by atherosclerotic calcification and stenosis of the visceral part of the aorta, usually occurring at the juxtarenal or suprarenal locations, and causing refractory hypertension and renal dysfunction. Surgical intervention, which is the recommended definitive treatment, is associated with significant morbidity and mortality. Endovascular stenting has been reported to be an alternative management option. To the best of our knowledge, this is the first case report to describe medical management of a patient with CRA with diuretics and angiotensin receptor blockade without surgical treatment.

  • GI-stents
  • medical management
  • renal medicine
  • hypertension
  • radiology (diagnostics)

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  • Contributors Dr NEO, Dr KN and Dr HT were involved in the clinical management of the patient and shared equal loads in the writing and revising of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.