title: Clinical recognition of mid-aortic syndrome in children.
abstract: Mid-aortic syndrome is characterized by narrowing of the abdominal aorta, usually with the involvement of renal arteries and other visceral branches. The combination of the presence of an abdominal bruit, diminished or absent pulsations of the lower extremities, and a blood pressure discrepancy between upper and lower extremities is the classic triad associated with mid-aortic syndrome. However, it has a wide variety of clinical symptoms, and awareness of the variable presentation can lead to early diagnosis of the vascular anomaly. We report three cases presenting at three different stages of this disease, such as hydrops fetalis, refractory hypertension, and intracerebral bleeding. In conclusion, these cases highlight the importance of blood pressure measurements in all patients and accurate physical examination for early recognition of a mid-aortic syndrome.
authors: Department of Pediatric Nephrology, Radboud University Nijmegen Medical Centre, P.O. Box 9101, Route 804, 6500 HB, Nijmegen, The Netherlands.
authors: Kim
authors: K
authors: ten Dam
authors: Roel L F
authors: RL
authors: van der Palen
authors: Ronald B
authors: RB
authors: Tanke
authors: Michiel F
authors: MF
authors: Schreuder
authors: Huib
authors: H
authors: de Jong
mesh_terms: D000293:Adolescent; D001012:Aorta, Abdominal / Q000002:abnormalities; D001018:Aortic Diseases / Q000151:congenital / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000151:congenital / Q000175:diagnosis*; D007231:Infant, Newborn; D008297:Male; D013577:Syndrome; D054079:Vascular Malformations / Q000175:diagnosis*