A Clinical Case of Resistant Arterial Hypertension Caused by Suprarenal Aortic Stenosis in Elderly Woman
Arterial hypertension is the most common cardiovascular disease in elderly patients. The frequency of secondary hypertension in this age group is 5-10%. Despite significant advances in diagnosis and treatment of symptomatic arterial hypertension (especially endocrine and renovascular ones), the issue of timely diagnosis of rare forms of secondary hypertension remains relevant, especially if they have a blurred clinical picture and a long history of the disease reducing doctors’ awareness of this pathology. The article presents a clinical case of a rare form of secondary arterial hypertension - suprarenal aorta stenosis ("coral" aorta, coral reef aorta). Distinct calcified plaques are formed in aortic lumen which may cause significant stenosis manifesting as intestinal ischemia, renal failure, or arterial hypertension due to renal ischemia. Early diagnosis of this condition allows timely surgical treatment, prescription of effective medications, and therefore dramatically improves the prognosis in these patients.