Middle aortic syndrome in adulthood. A clinical case report
DOI:
https://doi.org/10.37615/retic.v6n1a4Keywords:
middle aortic syndrome, coarctation of the descending and abdominal aorta, aortic CT scan, extraanatomic aorto-aortic bypassAbstract
We present the case of a 35-year-old patient with a diagnosis of congenital middle aortic syndrome corrected in childhood with aortic bypass interposition of a Dacron conduit. During follow-up, she was diagnosed with arterial hypertension, for which antihypertensive treatment was started and a stent was implanted in the conduit. A control CT of the aorta revealed a rib lesion suggestive of osteochondroma that compressed the duct. Cardiac catheterization confirmed hemodynamic stenosis due to extrinsic compression of the rib lesion at the level of the previously implanted stent. The CT imaging study helped to diagnose a complication at the level of the aorta that was undetected in other imaging techniques.
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Bower C, Ramsay JM. Congenital heart disease: A 10 year cohort. Journal of Paediatrics and Child Health. 1994; 30:414-418. doi: https://doi.org/10.1111/j.1440-1754.1994.tb00691.x DOI: https://doi.org/10.1111/j.1440-1754.1994.tb00691.x
Connolly JE, Wilson SE, Lawrence PL, Fujitani RM. Middle aortic syndrome: distal thoracic and abdominal coarctation, a disorder with multiple etiologies. J Am Coll Surg. 2002;194:774-81. doi: https://doi.org/10.1016/s1072-7515(02)01144-4 DOI: https://doi.org/10.1016/S1072-7515(02)01144-4
Forman N, Sinskey J, Shalabi A. A Review of Middle Aortic Syndromes in Pediatric Patients. J Cardiothorac Vasc Anesth. 2020;34:1042-1050. doi: https://doi.org/10.1053/j.jvca.2019.07.130 DOI: https://doi.org/10.1053/j.jvca.2019.07.130
Sethna CB, Kaplan BS, Cahill AM, Velazquez OC, Meyers KE. Idiopathic midaortic syndrome in children. Pediatr Nephrol. 2008;23:1135-42. doi: https://doi.org/10.1007/s00467-008-0767-4 DOI: https://doi.org/10.1007/s00467-008-0767-4
Thakkar, Akanksha N.a; Chinnadurai, Ponrajb; Lin, C. Huiec. Imaging adult patients with coarctation of the aorta. Current Opinion in Cardiology 2017. 32: 503-512. doi: https://doi.org/10.1097/HCO.0000000000000430 DOI: https://doi.org/10.1097/HCO.0000000000000430
Rumman RK, Nickel C, Matsuda-Abedini M, Lorenzo AJ, Langlois V, Radhakrishnan S, Amaral J, Mertens L, Parekh RS. Disease Beyond the Arch: A Systematic Review of Middle Aortic Syndrome in Childhood. Am J Hypertens.2015; 28:833-46. doi: https://doi.org/10.1093/ajh/hpu296 DOI: https://doi.org/10.1093/ajh/hpu296
Porras D, Stein DR, Ferguson MA, Chaudry G, Alomari A, Vakili K, Fishman SJ, Lock JE, Kim HB. Midaortic syndrome: 30 years of experience with medical, endovascular and surgical management. Pediatr Nephrol. 2013; 28: 2023-33. doi: https://doi.org/10.1007/s00467-013-2514-8 DOI: https://doi.org/10.1007/s00467-013-2514-8
Hetzer R, Absi D, Miera O, Solowjowa N, Schulz A, Javier MF, Delmo Walter EM. Extraanatomic bypass technique for the treatment of midaortic syndrome in children. Ann Thorac Surg. 2013; 96:183-9. doi: https://doi.org/10.1016/j.athoracsur.2013.03.025. DOI: https://doi.org/10.1016/j.athoracsur.2013.03.025
Tepelenis K, Papathanakos G, Kitsouli A, Troupis T, Barbouti A, Vlachos K, Kanavaros P, Kitsoulis P. Osteochondromas: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features and Treatment Options. In Vivo. 2021; 35:681-69. doi: https://doi.org/10.21873/invivo.12308 DOI: https://doi.org/10.21873/invivo.12308
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Copyright (c) 2023 Isabel Molina Borao, María Álvarez Fuente, Tomasa Centella Hernández, Jesús Javier Martín Pinacho, Inmaculada Sánchez Pérez, Natalia Rivero Jiménez, María Jesús del Cerro Marín
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