@article {Saundersbcr0420091740, author = {Sarah Saunders and Dean Harmse and Mary Sheppard}, title = {Undiagnosed coarctation of the aorta as a cause of aortic dissection in the young}, volume = {2009}, elocation-id = {bcr0420091740}, year = {2009}, doi = {10.1136/bcr.04.2009.1740}, publisher = {BMJ Publishing Group}, abstract = {A 35-year-old man presented to the Emergency Department with a history of severe acute central chest pain and simultaneous bilateral paralysis the legs with double incontinence. There was no significant past medical or family history. A CT scan showed a thoracic dissection of the aorta extending from the aortic root to the aortic bifurcation and in to the common iliac arteries. The patient was consented for an axillo-femoral bypass and was taken to theatre and operated on for 7 hours. The patient unfortunately died under anaesthesia. A hospital post-mortem was requested to identify the cause of the dissection. The patient{\textquoteright}s heart was sent to a cardiac pathologist who identified an undiagnosed coarctation of the aorta. Genetic testing was negative for Marfan syndrome. As a result of the post-mortem, it was recommended that first degree relatives of the deceased undergo ultrasound examination of the cardiovascular system as appropriate to exclude coarctation of the aorta.}, URL = {https://casereports.bmj.com/content/2009/bcr.04.2009.1740}, eprint = {https://casereports.bmj.com/content}, journal = {Case Reports} }