Why high blood pressure can lead to entrapment

  Arterial entrapment is a series of manifestations including tear-like pain due to a localized tear of the intima, which is subjected to strong blood impact and gradually peels off and expands the intima, forming two lumens within the artery, true and false. As the main blood vessel of the body, the aorta bears the pressure directly from the beating heart and has a huge blood flow. In the case of a tear in the intimal layer, the chance of rupture is very high and the mortality rate is also very high if there is no proper and timely treatment.  The greatest danger of aortic coarctation is death. The aorta is the main blood vessel of the body, subject to pressure directly from the beating heart, with tremendous blood flow, and in the presence of a tear in the intimal layer, the chances of rupture are very high and the mortality rate is very high if proper and timely treatment is not given. Previous literature reported mortality rates of up to 50% within 1 week and between 60-70% within a month.  In addition to this, even if the patient survives, reduced blood flow to the true luminal vessels due to the enlargement of the false lumen and increased pressure can lead to ischemia of the organs in the area supplied by the aorta.  Hypertension is the most common predisposing factor for aortic coarctation, and 70% to 90% of patients with aortic coarctation have combined hypertension. The reason why this disease is more common in the elderly is due to the double blow of primary hypertension and atherosclerosis, which results in high pressure on the aorta for a long time and persistent spasm, contraction and sclerosis of the nutrient vessels in the aortic wall, which eventually triggers degenerative changes in the middle elastic fibers and smooth muscle of the aortic wall. Especially in winter, the weather affects the vasoconstriction, leading to the prevalence of hypertension, which is more likely to lead to the occurrence of aortic coarctation.