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...
Autores principales: | , , , , , , |
---|---|
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 |
_version_ | 1784605851961524224 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8623105 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT ghiragosianrususiminaelena implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT blesneaccristina implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT sglimbeaanca implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT ghiragosianclaudiu implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT hadadilaszlo implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT fagarasanamalia implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport AT toganelrodica implantationofcoveredstentforcoarctationoftheaortaandsecondaryhypertensioninadolescentscasereport |