Midaortic syndrome in a middle-age female

Chaudhary, Rinkey; Tiwari, Tapendra; Sharma, Rajaram; Goyal, Saurabh

doi:10.1136/bcr-2021-246530

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…These include William syndrome, Alagille syndrome, and neurofibromatosis type I [5]. Diagnosis generally involves imaging with a CT angiography, however, ultrasound may be used as an initial imaging modality [9]. The most common anatomic arterial site affected by MAS is suprarenal, followed by intrarenal and infrarenal branches.…”

Section: Discussionmentioning

confidence: 99%

Hypertension in the Neonatal Intensive Care Unit (NICU): A Case of Mid-Aortic Syndrome

Ropri¹,

Randall²

2023

Cureus

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A term baby was born with findings of edema, harsh murmur, and hypertension. Pregnancy course was complicated by hydrops fetalis. Upon birth, blood work did not reveal any abnormalities, but an echocardiogram showed patient in high-output heart failure. A computed tomography (CT) chest, abdomen, and pelvis revealed narrowing of aorta in the thoracic region to distal iliac and renal arteries, consistent with mid-aortic syndrome. Mid-aortic syndrome, which results in the narrowing of thoracic or abdominal aorta, is a rare cause of hypertension, especially in newborns. This case elucidates the importance of maintaining a broad differential when encountering an uncommon problem in a newborn.

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Section: Discussionmentioning

confidence: 99%

Hypertension in the Neonatal Intensive Care Unit (NICU): A Case of Mid-Aortic Syndrome

Ropri¹,

Randall²

2023

Cureus

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“…Clinical presentation depends on the grade of aortic stenosis, the extent of branch involvement and collateral formation [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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

Giacaman¹,

Tos²,

Ibdah³

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Over the past decade, experience has demonstrated that percutaneous techniques, such as balloon angioplasty or stent implantation, can effectively treat this pathology, depending on the patient's anatomy and age [1,13,14]. While there are sporadic cases of mid-aortic syndrome diagnosed during pregnancy successfully managed with medication alone [3,4,15,16], percutaneous intervention for undiagnosed coarctation is feasible during pregnancy. However, it is associated with a higher risk of aortic dissection than outside pregnancy and should only be considered if severe hypertension persists despite maximal medical therapy, and there is maternal or fetal compromise [2,17].…”

Section: Case Presentationmentioning

confidence: 99%

Middle Aortic Syndrome Presented in Pregnancy-Treated with Percutaneous Intervention Followed by Successful Management of the Complications

Jayakrishna,

Avinash A,

Nagesh

et al. 2024

Int J Clin Cardiol

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Introduction: Mid-aortic syndrome is a clinical condition characterized by segmental narrowing of the abdominal or descending thoracic aorta, often resulting in severe hypertension. It can manifest as either a congenital abnormality or as one of several acquired conditions. Given the limited evidence available on the treatment of this syndrome, various approaches have been reported, including surgical intervention and endovascular treatments such as stent placement and medical management alone. Case presentation:We present the case of a 21-yearold female who developed life-threatening hypertension during the 21st week of pregnancy, a condition that went unrecognized before gestation due to the rarity of this syndrome. Unfortunately, in our patient, arterial hypertension proved resistant to a 4-drug antihypertensive regimen and there is evidence of end organ damage and fetal compromise. However following termination of pregnancy, a successful endovascular repair of mid-aortic syndrome was achieved using a self-expanding stent, along with bilateral renal artery stenting. Following the procedure, patient developed haemorrhagic stroke which was managed successfully and patient discharged in a stable condition. Conclusion:Patient is doing well for the last 11 months. Mid-aortic syndrome presented in pregnancy can be successfully managed with percutaneous intervention.

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Midaortic syndrome in a middle-age female

Cited by 4 publications

References 4 publications

Hypertension in the Neonatal Intensive Care Unit (NICU): A Case of Mid-Aortic Syndrome

Hypertension in the Neonatal Intensive Care Unit (NICU): A Case of Mid-Aortic Syndrome

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

Middle Aortic Syndrome Presented in Pregnancy-Treated with Percutaneous Intervention Followed by Successful Management of the Complications

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