Aorta coarctation – a case report
Keywords:
Hypertension, teenager, aorta coarctationAbstract
The authors report the case of a 15-years-old male football player,
referred to the outpatient hypertension clinic for investigation. The
clinical manifestations included headache, epistaxis and dizziness
evolving for 5 years.
The physical examination showed values of blood pressure in
the upper limbs higher than percentile 99; the difference in blood
pressure between the upper and lower limbs was over 40 mmHg,
femoral pulses were narrow, symmetrical and with femoral delay;
precordial systolic murmur II / VI radiating to the back.
According to the clinical data, the most probably diagnosis
was aorta coarctation. A thorax angio-CT scan was performed,
confirming our clinical suspicion. The patient was referred to
cardio-thoracic surgery and dilatation with stent by percutaneous
catheter was carried out.
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References
Lurbe E, Cifkova R, Cruickshank J et al. Management of high blood pressure in hildren and adolescentes: recommendations of the European Society of Hypertension. Journal of Hypertension 2009, 27: 1719-1742.
The Seventh Report of the Joint National Commitee on Prevention, Detection, Evaluation, and treatment of high blood pressure the JNC report. JAMA 2003; 289: 2560-2572.
The Fourth Report on the Diagnosis, Evaluation, and treatment of high Blood Pressure in Children and Adolescents. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents Pediatrics. 2004; 114(2):555-576.
Mancia G, Falkener B. Hypertension in children and adolescents. In: Manci G, Chalmers J, Webwer M et al. Manual of Hypertension. Churchhill Livingstone, 2002;519-540.
Brojendra NA, Emile B. Clinical manifestations and diagnosis of Coartation of the Aorta.In: Up ToDate. UpToDate inc., December 2007.
Pellicia A, Fagard R, Bjornstad H et al. Recommendations for competitive sport paricipation in athletes with cardiovascular disease. European Heart Journal 2005, 26: 1422-1445.
Fagard R. Hypertension in in athletes. European Society of Hypertension Scientific Newsletter: Update on Hypertension Management. 2009; 10: 37.
Sandy N, Dawn MC. Aortic Coartation. Emedicine, Oct 2008.
Jenkins NP, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment. QJ Med 1999; 92:365-371
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