Hypertension as the major problem of idiopathic arterial calcification of infancy

Milner, Laurence S.; Heitner, Rene; Thomson, Peter D.; Levin, Solomon E.; Rothberg, A. D.; Beale, P. G.; Ninin, Daniel

doi:10.1016/s0022-3476(84)80080-3

Cited by 43 publications

(17 citation statements)

References 10 publications

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“…In addition, renal artery stenosis may also be accompanied by mid-aortic coarctation and cerebral vascular stenoses [51,52]. Other blood vessel abnormalities may also lead to hypertension in the neonate, including idiopathic arterial calcification [53,54] and renal artery stenosis secondary to congenital rubella infection [55]. Finally, mechanical compression of one or both renal arteries by tumors, hydronephrotic kidneys, or other abdominal masses may also lead to hypertension.…”

Section: Etiologymentioning

confidence: 99%

Hypertension in infancy: diagnosis, management and outcome

2011

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Advances in the ability to identify, evaluate, and care for infants with hypertension, coupled with advances in the practice of Neonatology, have led to an increased awareness of hypertension in modern neonatal intensive care units. This review will present updated data on blood pressure values in neonates, with a focus on the changes that occur over the first days and weeks of life in both term and preterm infants. Optimal blood pressure measurement techniques as well as the differential diagnosis of hypertension in the neonate and older infants will be discussed. Recommendations for the optimal immediate and long-term evaluation and treatment, including potential treatment parameters, will be presented. We will also review additional information on outcome that has become available over the past decade.

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Section: Etiologymentioning

confidence: 99%

Hypertension in infancy: diagnosis, management and outcome

2011

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“…Form of hydropsfetalis, family history of abortions in the last trimester of pregnancy [9]; sever form of pulmonary hypertension and its complications with unknown causes early in life and finally supported evidence of calcified great vessels on echocardiography and ultrasound studies [6].…”

Section: Discussionmentioning

confidence: 82%

“…Idiopathic arterial calcification can present very early in life even parental, prenatal or early postnatal and it affects the medium and large vessels all over the body causing loss of compliance and elasticity with narrowing and even occlusion of this blood vessel [5] with different degree of systemic and pulmonary hypertension [5,6]. This rare disease of unknown etiology might be fatal antenatal or early in life due to sever pulmonary or systemic hypertension with signs of hydropsfetalis in the fetus or heart and multi organ failure postnatal.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

JCCR

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“…The utility of SPECT in patients with Kawasaki disease and coronary anomalies has been previously reported. [2][3][4][5] The finding of a reversible apical defect in this patient, corroborated by apical hypokinesis during stress, showed that this patient had compromised myocardial perfusion and function despite a normal transthoracic echocardiogram and exercise stress test. This highlights the importance of carrying out additional stress imaging studies in patients after Kawasaki disease rather than relying solely on conventional echocardiography or cardiac catheterisation.…”

Section: Discussionmentioning

confidence: 96%

Calcified occlusion of the right coronary artery in Kawasaki disease: evidence of myocardial ischaemia using cardiac technetium-99m-tetrofosmin perfusion single-photon emission computed tomography

Beamish

O’Connell

El-Khuffash

et al. 2006

Archives of Disease in Childhood

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We report the case of a 14-year-old boy who developed Kawasaki disease at 5 months of age. The patient developed severe aneurysmal disease of both the left and right coronary arteries. He eventually developed total calcified occlusion of the right coronary artery despite long-term treatment with aspirin. Catheterisation showed no antegrade flow into the right coronary artery, with retrograde flow from the left coronary system into the right coronary. At the most recent follow-up he was asymptomatic, with normal exercise tolerance and a negative exercise stress test. Single-photon emission computed tomography (SPECT) myocardial perfusion imaging was carried out during stress and at rest using intravenous persantine (dipyridamole) and technetium-99m tetrofosmin. During stress, there were prominent left ventricular apical and anteroseptal defects, which normalised at rest. SPECT during stress and at rest may detect subclinical ischaemia and influence further management options in such patients.

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Hypertension as the major problem of idiopathic arterial calcification of infancy

Cited by 43 publications

References 10 publications

Hypertension in infancy: diagnosis, management and outcome

Hypertension in infancy: diagnosis, management and outcome

Untitled

Calcified occlusion of the right coronary artery in Kawasaki disease: evidence of myocardial ischaemia using cardiac technetium-99m-tetrofosmin perfusion single-photon emission computed tomography

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