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Acute Lower Limb Ischemia as Presenting Symptom in Case of Infra Renal Coarctation of Aorta: A Rarity

Akshay A Bafna, Varun Deokate, Prama Bagani, Sai Prasad, Majid mulla1 and Varun Bafna

We describe a case of infra-renal coarctation of aorta in a 40-yr-old woman who presented with pain and black discoloration of third small toe of left lower limb. She had neither past medical history nor associated coronary artery disease risk factors. Computed tomographic angiography showed a narrowing of infra-renal aortic segment, with monophasic blood flow in left lower limb arteries, bilaterally. After a coarctoplasty, triphasic pulse waveform restored in arteries of left lower limb bilaterally, and clinical improvement was observed in pain and blackish discoloration. To our best knowledge, we first to describe the case of infra-renal coarctation of aorta presented with left lower limb acute ischemia.