In this report, we present an unusual case of a 20-year-old man whose first
symptom of aortic coarctation was sudden paraplegia due to spinal epidural
hemorrhage caused by rupture of an aneurysmal collateral vessel. Now, one
year after surgical correction of coarctation, the patient has had no cardi
ac or neurological problems. To our knowledge, this is the only clearly doc
umented case of such an aortic coarctation complication.