A man in his 20s presented to the emergency department with asymptomatic severe hypertension. Antihypertensive drug therapy was started. Workup for secondary hypertension, including echocardiography and contrast computed tomography, was performed (Figure). A postductal coarctation of the aorta was diagnosed, and the patient underwent successful aortic stent placement.
Double-orifice mitral valve (DOMV) is a rare congenital cardiac defect (1% of all types of congenital heart disease). Three varieties have been described: complete bridge, incomplete bridge, and an eccentric type.1 Of patients with DOMV, mitral regurgitation can be found in up to 43% and stenosis in 13%. However, patients rarely need surgical treatment in the absence of associated defects.1- 3 A bicuspid aortic valve can coexist as it is the most common congenital valvular heart disease associated with coarctation of the aorta.2,3