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Acquired coarctation of the aorta

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Summary

Coarctation of the aorta is usually caused by a congenital narrowing of the aorta. This report describes two children who developed hypertension secondary to an acquired coarctation of the aorta. In one patient the coarctation was temporally related to umbilical artery catheterization and was associated with thrombosis and aneurysmal dilatation of the aorta. In the second patient, the coarctation occurred after surgical aortotomy during the removal of an intrathoracic neuroblastoma. Patients who have interventional damage to the aorta should be periodically examined for the appearance of a coarctation. Although an acquired coarctation of the aorta is an infrequent complication of invasive or surgical procedures, it should be identified since it represents a remediable cause of hypertension in children.

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References

  1. Bloor K, Williams RT (1963) Neurofibromatosis and coarctation of the abdominal aorta with renal artery involvement.Br J Surg 50:811–813

    Google Scholar 

  2. Drucker DEM, Greenfield LJ, Ehrlich F, Salzberg AM (1986) Aorto-iliac aneurysms following umbilical artery catheterization.J. Pediatr Surg 21:725–730

    Google Scholar 

  3. Gaffney JW, Bierman FZ, Donnelly CM, Sutton M, Piomelli S, Gersony WM (1988) Cardiovascular adaptations of transfusion/chelation therapy of homozygote sickle cell anemia.Am J Cardiol 62:121–125

    Google Scholar 

  4. Hamilton RM, Penkoske PA, Byrne P, Duncan NF (1988) Spontaneous aortic thrombosis in a neonate presenting as coarctation.Ann Thorac Surg 45:564–565

    Google Scholar 

  5. Keech AC, Westlake GW, Wallis PL, Hamer AWF (1988) An acquired case of aortic coarctation.Am Heart J 115:1328–1332

    Google Scholar 

  6. LeBlanc JG, Culham JAG, Chan K-W, Patterson MW, Tipple M, Sandor GG (1986) Treatment of grafts and major vessel thrombosis with low-dose streptokinase in children.Ann Thorac Surg 41:630–635

    Google Scholar 

  7. McKusick VA (1962) A form of vascular disease relatively frequent in the Orient.Am Heart J 63:57–64

    Google Scholar 

  8. Newby JP, Gesink MH, Newman MM (1966) Post-traumatic acquired coarctation of the descending thoracic aorta.J Thorac Cardiovasc Surg 51:883–886

    Google Scholar 

  9. Ormerod LP (1976) Acquired coarctation of the aorta—Long term complication of radiation.Br Med J 2:977

    Google Scholar 

  10. Reidemeister JC, Zerkowski HR, Rohm N, Machado JLB (1984) Acquired aortic coarctation due to posttuberculotic gibbous formation.Thorac Cardiovasc Surg 32:54–56

    Google Scholar 

  11. Rodriguez M, Sosenko I (1989) Catheter-induced aortic thrombus masquerading as coarctation of the aorta.Clin Pediatr 28:581–584

    Google Scholar 

  12. Schneider JA, Rheuban KS, Crosby IK (1979) Rupture of postcoarctation mycotic aneurysms of the aorta.Ann Thorac Surg 27:185–190

    Google Scholar 

  13. Spangler JG, Kleinberg F, Fulton RE, Barnhorst DA, Ritter DG (1977) False aneurysm of the descending aorta. A complication of umbilical artery catheterization.Am J Dis Child 131:1258–1259

    Google Scholar 

  14. Starc RJ, Krongrad E, Bierman FZ (1989) Two-dimensional echocardiography and Doppler findings in cerebral arteriovenous malformation.Am J Cardiol 64:252–254

    Google Scholar 

  15. Thompson TR, Tilleli J, Johnson DE, Britt W, L'Heureux P, Williams H, Javis C, Burke BA (1980) Umbilical artery catheterization complicated by mycotic aortic aneurysm in neonates.Adv Pediatr 27:275–318

    Google Scholar 

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Starc, T.J., Abramson, S.J., Bierman, F.Z. et al. Acquired coarctation of the aorta. Pediatr Cardiol 13, 33–36 (1992). https://doi.org/10.1007/BF00788227

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