A 13-Year-Old Girl with Arterial Hypertension - Mid-Aortic Syndrome

Abstract

Mid-aortic stenosis (MAS) is a rare clinical entity that is characterised by profound narrowing of the abdominal aorta. MAS usually presents with severe hypertension. Treatment modalities include antihypertensive medication, angioplasty, and surgery. If adequate treatment is initiated long-term prognosis is favourable. Here, we report on 13-year-old girl with MAS who presented to our hospital with arterial hypertension. Initial diagnostic work-up and treatment in patients with MAS are presented.

A child diagnosed with midaortic syndrome and inherited thrombophilia after presenting with a stroke: A case report

“…MAS accounts for approximately 0.5–2% of all cases of aortic coarctation in general [ 3 ]; the majority of cases are idiopathic. it can be classified to congenital or acquired, congenital MAS is hypothesized to be correlated to intrauterine injuries and infections, most notably rubella, acquired cases are associated with many diseases, including aortitis, neurofibromatosis, Alagille syndrome, William syndrome, temporal and Takayasu arteritis and others [ 3 , 8 ].…”

“…MAS accounts for approximately 0.5–2% of all cases of aortic coarctation in general [ 3 ]; the majority of cases are idiopathic. it can be classified to congenital or acquired, congenital MAS is hypothesized to be correlated to intrauterine injuries and infections, most notably rubella, acquired cases are associated with many diseases, including aortitis, neurofibromatosis, Alagille syndrome, William syndrome, temporal and Takayasu arteritis and others [ 3 , 8 ]. MAS may be the sole structural abnormality or it could occur with other anomalies, including patent ductus arteriosus, bicuspid aortic valve, atrial of ventricular septal defects, renal artery stenosis, berry aneurysms in circulation of Willis [ 9 ].…”

“…Other uncommon causes of renovascular hypertension include mid-aortic syndrome (MAS) [ 2 ]. Other terms used to describe this condition include middle aortic coarctation or abdominal aortic coarctation [ 3 ].…”

“…In addition MAS patients can suffer from other complications including hypertensive encephalopathy, hypertensive heart failure and cerebrovascular accidents. Treatment options include antihypertensive medications, angioplasty and surgery [ 3 ].…”