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:	Simina-Elena Ghiragosian-Rusu, Cristina Blesneac, Anca Sglimbea, Claudiu Ghiragosian, Laszlo Hadadi, Amalia Făgărășan, Rodica Togănel
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	coarctation of the aorta covered stent adolescent arterial hypertension complication Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/730ab3e962a14767901dffca91a1af0e
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spelling	oai:doaj.org-article:730ab3e962a14767901dffca91a1af0e2021-11-25T17:14:34ZImplantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report10.3390/children81110182227-9067https://doaj.org/article/730ab3e962a14767901dffca91a1af0e2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1018https://doaj.org/toc/2227-9067Introduction: 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.Simina-Elena Ghiragosian-RusuCristina BlesneacAnca SglimbeaClaudiu GhiragosianLaszlo HadadiAmalia FăgărășanRodica TogănelMDPI AGarticlecoarctation of the aortacovered stentadolescentarterial hypertensioncomplicationPediatricsRJ1-570ENChildren, Vol 8, Iss 1018, p 1018 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coarctation of the aorta covered stent adolescent arterial hypertension complication Pediatrics RJ1-570
spellingShingle	coarctation of the aorta covered stent adolescent arterial hypertension complication Pediatrics RJ1-570 Simina-Elena Ghiragosian-Rusu Cristina Blesneac Anca Sglimbea Claudiu Ghiragosian Laszlo Hadadi Amalia Făgărășan Rodica Togănel Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report
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	article
author	Simina-Elena Ghiragosian-Rusu Cristina Blesneac Anca Sglimbea Claudiu Ghiragosian Laszlo Hadadi Amalia Făgărășan Rodica Togănel
author_facet	Simina-Elena Ghiragosian-Rusu Cristina Blesneac Anca Sglimbea Claudiu Ghiragosian Laszlo Hadadi Amalia Făgărășan Rodica Togănel
author_sort	Simina-Elena Ghiragosian-Rusu
title	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_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_sort	implantation of covered stent for coarctation of the aorta and secondary hypertension in adolescents—case report
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/730ab3e962a14767901dffca91a1af0e
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Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report

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