title: Mid-aortic syndrome and renovascular hypertension in a 14-year-old Iraqi girl: pitfalls in diagnosis and surgical management.
abstract: Mid-aortic syndrome remains an uncommon cause of hypertension in the pediatric population. Reported management options include percutaneous intervention, medical management, renal autotransplantation, and bypass of diseased portions of the aorta with prosthetic or autologous conduits. We report a case of a 14-year-old Iraqi female with mid-aortic syndrome, confirmed by both computed tomographic angiography and magnetic resonance angiography. The patient underwent a successful aorto-aortic, aorto-mesenteric, and aorto-birenal artery bypass with a polytetrafluoroethylene graft. Optimal management for this condition is surgical bypass.
authors.affiliation: Department of Surgery, Madigan Army Medical Center, Tacoma, Washington 98431, USA. vance.sohn@us.army.mil
authors.forename: Vance
authors.initials: V
authors.lastname: Sohn
authors.forename: Garth
authors.initials: G
authors.lastname: Herbert
authors.forename: Zachary
authors.initials: Z
authors.lastname: Arthurs
authors.forename: Benjamin
authors.initials: B
authors.lastname: Starnes
authors.forename: Charles
authors.initials: C
authors.lastname: Andersen
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D000792:Angiography; D001012:Aorta, Abdominal / Q000473:pathology* / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis; D019917:Blood Vessel Prosthesis Implantation; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D004452:Echocardiography; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology*; D018810:Magnetic Resonance Angiography; D017538:Mesenteric Artery, Superior / Q000601:surgery; D012077:Renal Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed