•Severe hypertension and resulting complications:
• -Premature coronary artery disease.
• Left ventricular failure (two thirds of patients over the age of 40 years who have
• uncorrected aortic coarctatioh have symptoms of heart failure).
• Rupture of aorta.
• Infective endocarditis endarteritis (at the site of the coarctation or on a con-genitally bicuspid
• Intracranial haemorrhage (combination of hypertension and ruptured berry aneurysm).
• Three quarters die by the age of 50, and 90% by the age of 60 (Bt Heart J 1970: 32: 63340).