scholarly journals A common cause of secondary hypertension: coarctation of the aorta

Heart ◽  
2005 ◽  
Vol 92 (6) ◽  
pp. 734-734 ◽  
Author(s):  
S Cay
Keyword(s):  
Coarctation Of The Aorta ◽  
Secondary Hypertension ◽  
Common Cause

scholarly journals Hypertension Associated with Coarctation of the Aorta Revisited: Case-Based Update from Experience of Three Children

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ali Baykan ◽  
Mustafa Argun ◽  
Abdullah Özyurt ◽  
Özge Pamukçu ◽  
Kazım Üzüm ◽  
...  
Keyword(s):  
Physical Examination ◽  
Coarctation Of The Aorta ◽  
Secondary Hypertension ◽  
Diagnostic Approach ◽  
Systemic Hypertension ◽  
Cerebellar Infarction ◽  
Clinical Pictures ◽  
Age Range ◽  
Hypertension In Children ◽  
Case Based

Coarctation of the aorta (CoA) can present with different clinical pictures depending on the severity of the narrowness in the coarcted aortic segment in an age range between newborn and adolescence. Sometimes, it can cause intracranial hemorrhage or infarction when diagnosis and treatment are delayed. The aim of this report is taking attention to CoA as a cause of systemic hypertension and is also emphasizing the differences of diagnostic approach for hypertension in children from adults. Two cases of hypertensive cerebral hemorrhage and one case of hypertensive cerebellar infarction associated with CoA are reported. These cases help us to pay attention to the possibility of CoA in adolescents with hypertensive stroke. We want to emphasize the importance of physical examination for evaluation of hypertension and to impress the diagnostic approach for secondary hypertension in children.

scholarly journals Implantation of Covered Stent for Coarctation of the Aorta and Secondary Hypertension in Adolescents—Case Report

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1018
Author(s):  
Simina-Elena Ghiragosian-Rusu ◽  
Cristina Blesneac ◽  
Anca Sglimbea ◽  
Claudiu Ghiragosian ◽  
Laszlo Hadadi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Arterial Hypertension ◽  
Coarctation Of The Aorta ◽  
Holter Monitoring ◽  
Secondary Hypertension ◽  
Covered Stent ◽  
Lower Limbs ◽  
Interventional Treatment ◽  
High Morbidity

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.

Recent management of surgically correctable hypertension

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Emad EL-Din Farid Ibrahim ◽  
Shaaban Mohammed Abd-Elmgeed ◽  
Fawzy Salah Fawzy Eweda ◽  
Gerges Hosney Loka Felebs
Keyword(s):  
Renal Artery ◽  
Data Extraction ◽  
Young Patients ◽  
Life Quality ◽  
Coarctation Of The Aorta ◽  
Secondary Hypertension ◽  
Eligibility Criteria ◽  
Obstructive Sleep ◽  
Ethical Approval ◽  
Parenchymal Disease

Abstract Background Surgical hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Obstructive sleep Apnea, Aldosteronism, presence of renal artery Bruits (suggesting renal artery stenosis), renal parenchymal disease (Bad kidneys), excess Catecholamines, Coarctation of the aorta, Cushing's syndrome, Drugs, Diet, polycythemia, and some neuroendocrine tumors. Objective To assess, through the available literature. The role of surgery in the management of endocrine, renal and vascular causes of hypertension and outcome benefits of surgery. Data Sources Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Secondary hypertension may be due to underlying correctable cause. Diagnosis and surgical correction of the underlying cause may improve hypertension and improve life quality of the patient especially in young patients resistant to medical therapy for hypertension.

What Is the Most Common Cause of Secondary Hypertension?: An Interdisciplinary Discussion

2020 ◽  
Vol 22 (12) ◽  
Author(s):  
Madson Q. Almeida ◽  
Giovanio V. Silva ◽  
Luciano F. Drager
Keyword(s):  
Secondary Hypertension ◽  
Common Cause

scholarly journals Renovascular disease: a common cause of secondary hypertension

2021 ◽  
Vol 14 (4) ◽  
pp. 75-80
Author(s):  
Chris Kairis ◽  
Stavroula Kamtsiki ◽  
Maria Eirini Tselegkidi ◽  
George Trellopoulos ◽  
Achilleas Siozopoulos
Keyword(s):  
Secondary Hypertension ◽  
Renovascular Disease ◽  
Common Cause

scholarly journals A clinical case of secondary hypertension in a young woman with coarctation of the aorta

2022 ◽  
Vol 20 (4) ◽  
pp. 205-210
Author(s):  
M. A. Manukyan ◽  
A. Yu. Falkovskaya ◽  
V. F. Mordovin ◽  
V. V. Saushkin ◽  
T. R. Ryabova
Keyword(s):  
Blood Pressure ◽  
Transthoracic Echocardiography ◽  
Clinical Case ◽  
Young Patients ◽  
Coarctation Of The Aorta ◽  
Secondary Hypertension ◽  
Residual Stenosis ◽  
Follow Up Care ◽  
Diagnosis Of Hypertension

The article presents a case of diagnosis and treatment of coarctation of the aorta in a 20-year-old woman, who previously received follow-up care with the diagnosis of hypertension. This case demonstrates the importance of qualitative examination of young patients with hypertension, including tonometry in the lower extremities and transthoracic echocardiography. The peculiarities of this clinical case encompass a rarer, isolated type of coarctation of the aorta and high physical fitness of the patient, which reduced doctors’ alertness regarding this anomaly. After surgical correction, a significant decrease in the blood pressure was achieved; however, such patients need longterm follow-up in order to detect complications, such as aneurysms, restenosis, or residual stenosis. 

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