Acquired coarctation of the aorta.
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.
Starc
T J
TJ
Department of Pediatrics, Columbia University, College of Physicians and Surgeons, New York, New York 10032.
Abramson
S J
SJ
Bierman
F Z
FZ
Regan
J A
JA
Sitarz
A L
AL
Rose
E A
EA
Altman
R P
RP
Collins
M H
MH
Griffiths
S P
SP
D001017:Aortic Coarctation / Q000209:etiology*; D002404:Catheterization / Q000009:adverse effects; D002675:Child, Preschool; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007231:Infant, Newborn; D008297:Male; D013514:Surgical Procedures, Operative / Q000009:adverse effects; D014469:Umbilical Arteries