%0 Case Reports %T Aortic isthmus massive calcifications: an unusual case of secondary hypertension. %A Soukeur S %A Cosset B %A Farhat F %J J Cardiothorac Surg %V 18 %N 1 %D 2023 Nov 27 %M 38012735 %F 1.522 %R 10.1186/s13019-023-02390-3 %X We present the case of a 63-year-old woman who was hospitalized five times in 4 months for episodes of heart failure, associated with a sustained hypertension despite a fivefold therapy. The pathophysiological mechanism of the hypertension was a secondary hyperaldosteronism linked to a renal hypoperfusion due to the narrowing of the thoracic aorta by a huge calcified plaque, mimicking an aortic coarctation.