Conditions mimicking coarctation of the aorta.
Coarctation of the aorta is a cause of right arm hypertension in children and of heart failure in infants after ductal closure. We present two cases with these presentations that were initially thought to be coarctation of the aorta. They were subsequently diagnosed as Takayasu's arteritis in the older child and a large cerebral arteriovenous malformation in the infant. These conditions should be in the differential of right arm hypertension and of aortic flow reversal on echocardiography.
Harahsheh
A S
AS
Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI 48310, USA. harahsheh@wayne.edu
Kulkarni
A
A
Becker
C
C
Ross
R D
RD
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001017:Aortic Coarctation / Q000175:diagnosis*; D017536:Carotid Artery, Common / Q000473:pathology; D016893:Carotid Stenosis / Q000453:epidemiology; D002648:Child; D015897:Comorbidity; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography; D013349:Subclavian Steal Syndrome / Q000453:epidemiology; D013625:Takayasu Arteritis / Q000175:diagnosis* / Q000453:epidemiology; D014463:Ultrasonography
Ann Thorac Cardiovasc Surg. 2003 Jun;9(3):202-5
12875645
Arch Dis Child. 1998 Jun;78(6):548-51
9713012
Am J Cardiol. 1997 Nov 15;80(10):1382-3
9388125
Pediatr Cardiol. 1993 Jul;14(3):191-3
8415228
Cathet Cardiovasc Diagn. 1996 Aug;38(4):406-9
8853153
Arthritis Rheum. 1990 Aug;33(8):1068-73
2202306
Arthritis Rheum. 1990 Aug;33(8):1129-34
1975175
J Cardiothorac Vasc Anesth. 1994 Feb;8(1):108-13
7909455
Childs Nerv Syst. 1991 Feb;7(1):48-52
2054809
Eur J Cardiothorac Surg. 2002 Nov;22(5):836-8
12414058