Atypical coarctation with severe hypertension: a case report.

A young man of 16 years presented with sudden onset of right sided headache and vomiting for one day. No neurological or visual disturbances were noticed. On examination his BP was 240/120 mmHg. All upper extremity pulses were felt but from the femoral artery down to arteria dorsalis pedis these were absent. He was diagnosed as a case of coarctation of aorta following various biological and radiological investigations. After confirming the findings on aortography an aortoplasty was attempted with a long cordis balloon used to dilate the middle aortic lesion of 15 mm.