Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report

Introduction: Coarctation of the aorta represents a narrowing of the thoracic aorta. Hypertensive patients with blood pressure differences ≥20 millimetres of mercury have an indication for surgical or interventional treatment. Implantation of a covered stent became the preferred therapy for the mana...

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Autores principales: Ghiragosian-Rusu, Simina-Elena, Blesneac, Cristina, Sglimbea, Anca, Ghiragosian, Claudiu, Hadadi, Laszlo, Făgărășan, Amalia, Togănel, Rodica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623105/
https://www.ncbi.nlm.nih.gov/pubmed/34828731
http://dx.doi.org/10.3390/children8111018
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author Ghiragosian-Rusu, Simina-Elena
Blesneac, Cristina
Sglimbea, Anca
Ghiragosian, Claudiu
Hadadi, Laszlo
Făgărășan, Amalia
Togănel, Rodica
author_facet Ghiragosian-Rusu, Simina-Elena
Blesneac, Cristina
Sglimbea, Anca
Ghiragosian, Claudiu
Hadadi, Laszlo
Făgărășan, Amalia
Togănel, Rodica
author_sort Ghiragosian-Rusu, Simina-Elena
collection PubMed
description Introduction: Coarctation of the aorta represents a narrowing of the thoracic aorta. Hypertensive patients with blood pressure differences ≥20 millimetres of mercury have an indication for surgical or interventional treatment. Implantation of a covered stent became the preferred therapy for the management of this pathology in adolescents/adults. Case report: We report the case of a 14-year-old male sportsman, who presented in the emergency room with headache, dizziness, and tinnitus. The clinical exam revealed blood pressure differences between the upper and lower limbs of up to 50 mmHg. Based on the clinical and paraclinical data, we established the diagnosis of coarctation of the aorta and severe secondary arterial hypertension. The case was discussed by a multidisciplinary team and accepted for covered stent implantation. The 24 h blood pressure Holter monitoring after the procedure indicated the persistence of stage I arterial hypertension. Conclusions: Coarctation of the aorta is a congenital cardiovascular anomaly with high morbidity and mortality rates. Arterial hypertension, heart failure, and aortic dissection are complications of this pathology, some of them being sometimes direct consequences of secondary hypertension. Periodic cardiology follow up after the procedure is mandatory to assess the hemodynamic response, to identify potential complications, and to stratify the cardiovascular risk.
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spelling pubmed-86231052021-11-27 Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report Ghiragosian-Rusu, Simina-Elena Blesneac, Cristina Sglimbea, Anca Ghiragosian, Claudiu Hadadi, Laszlo Făgărășan, Amalia Togănel, Rodica Children (Basel) Case Report Introduction: Coarctation of the aorta represents a narrowing of the thoracic aorta. Hypertensive patients with blood pressure differences ≥20 millimetres of mercury have an indication for surgical or interventional treatment. Implantation of a covered stent became the preferred therapy for the management of this pathology in adolescents/adults. Case report: We report the case of a 14-year-old male sportsman, who presented in the emergency room with headache, dizziness, and tinnitus. The clinical exam revealed blood pressure differences between the upper and lower limbs of up to 50 mmHg. Based on the clinical and paraclinical data, we established the diagnosis of coarctation of the aorta and severe secondary arterial hypertension. The case was discussed by a multidisciplinary team and accepted for covered stent implantation. The 24 h blood pressure Holter monitoring after the procedure indicated the persistence of stage I arterial hypertension. Conclusions: Coarctation of the aorta is a congenital cardiovascular anomaly with high morbidity and mortality rates. Arterial hypertension, heart failure, and aortic dissection are complications of this pathology, some of them being sometimes direct consequences of secondary hypertension. Periodic cardiology follow up after the procedure is mandatory to assess the hemodynamic response, to identify potential complications, and to stratify the cardiovascular risk. MDPI 2021-11-05 /pmc/articles/PMC8623105/ /pubmed/34828731 http://dx.doi.org/10.3390/children8111018 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Ghiragosian-Rusu, Simina-Elena
Blesneac, Cristina
Sglimbea, Anca
Ghiragosian, Claudiu
Hadadi, Laszlo
Făgărășan, Amalia
Togănel, Rodica
Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title_full Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title_fullStr Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title_full_unstemmed Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title_short Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
title_sort implantation of covered stent for coarctation of the aorta and secondary hypertension in adolescents—case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623105/
https://www.ncbi.nlm.nih.gov/pubmed/34828731
http://dx.doi.org/10.3390/children8111018
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