Preview

Bulletin of Siberian Medicine

Advanced search

A clinical case of secondary hypertension in a young woman with coarctation of the aorta

https://doi.org/10.20538/1682-0363-2021-4-205-210

Abstract

The article presents a case of diagnosis and treatment of coarctation of the aorta in a 20-year-old woman, who previously received follow-up care with the diagnosis of hypertension. This case demonstrates the importance of qualitative examination of young patients with hypertension, including tonometry in the lower extremities and transthoracic echocardiography. The peculiarities of this clinical case encompass a rarer, isolated type of coarctation of the aorta and high physical fitness of the patient, which reduced doctors’ alertness regarding this anomaly. After surgical correction, a significant decrease in the blood pressure was achieved; however, such patients need longterm follow-up in order to detect complications, such as aneurysms, restenosis, or residual stenosis. 

About the Authors

M. A. Manukyan
Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences
Russian Federation

111а, Kievskaya Str., Tomsk, 634012



A. Yu. Falkovskaya
Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences
Russian Federation

111а, Kievskaya Str., Tomsk, 634012



V. F. Mordovin
Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences
Russian Federation

111а, Kievskaya Str., Tomsk, 634012



V. V. Saushkin
Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences
Russian Federation

111а, Kievskaya Str., Tomsk, 634012



T. R. Ryabova
Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences
Russian Federation

111а, Kievskaya Str., Tomsk, 634012



References

1. Hoffman J.I., Kaplan S. The incidence of congenital heart disease. Journal of the American Сollege of Сardiology. 2002; 39 (12): 1890–1900. DOI: 10.1016/s0735-1097(02)01886-7.

2. Fox E.B., Latham G.J., Ross F.J., Joffe D. Perioperative and Anesthetic Management of Coarctation of the Aorta. Seminars in Сardiothoracic and Vascular Anesthesia. 2019; 23 (2): 212– 224. DOI: 10.1177/1089253218821953.

3. Teo L.L.S., Cannell T., Babu-Narayan S. V., Hughes M., Mohiaddin R.H. Prevalence of associated cardiovascular abnormalities in 500 patients with aortic coarctation referred for cardiovascular magnetic resonance imaging to a tertiary center. Pediatric Cardiology. 2011; 32 (8): 1120–1127. DOI: 10.1007/s00246-011-9981-0.

4. Kim Y.Y., Andrade L., Cook S.C. Aortic сoarctation. Cardiology Clinics. 2020; 38 (3): 337–351. DOI: 10.1016/j.ccl.2020.04.003.

5. Agasthi P., Pujari S.H., Tseng A., Graziano J.N., Marcotte F., Majdalany D., Mookadam F., Hagler D.J., Arsanjani R. Management of adults with coarctation of aorta. World Journal of Cardiology. 2020; 12 (5): 167–191. DOI: 10.4330/wjc.v12. i5.167.

6. Donti A., Spinardi L., Brighenti M., Faccioli L., Leoni C., Fabi M., Trossello M.P., Gargiulo G.D., Bonvicini M. Frequency of intracranial aneurysms determined by magnetic resonance angiography in children (mean age 16) having operative or endovascular treatment of coarctation of the aorta (mean age 3). The American Journal of Cardiology. 2015; 116 (4): 630–633. DOI: 10.1016/j.amjcard.2015.05.030.

7. Ganigara M., Doshi A., Naimi I., Mahadevaiah G. P., Buddhe S., Chikkabyrappa S.M. Preoperative Physiology, Imaging, and Management of Coarctation of Aorta in Children. Seminars in Cardiothoracic and Vascular Anesthesia. 2019; 23 (4): 379– 386. DOI: 10.1177/1089253219873004.

8. Torok R.D., Campbell M.J., Fleming G.A., Hill K.D. Coarctation of the aorta: Management from infancy to adulthood. World Journal of Cardiology. 2015; 7 (11): 765–775. DOI: 10.4330/wjc.v7.i11.765.

9. Абугов С.А., Аверина Т.Б., Аксельрот Б.А., Акчурин Р.С., Алекян Б.Г., Аракелян В.С. Клинические рекомендации по диагностике и лечению заболеваний аорты (2017). Кардиология и сердечно-сосудистая хирургия. 2018; 1: 5–67.

10. Козлов Б.Н., Панфилов Д.С., Саушкин В.В., Кузнецов М.С., Насрашвили Г.Г., Шипулин В.М. Реконструктивная хирургия перерыва дуги аорты у взрослых. Хирургия. Журнал им. Н.И. Пирогова. 2016; (5): 13–16. DOI: 10.17116/hirurgia2016513-16.

11. Ильинов В.Н., Кривощеков Е.В., Шипулин В.М. Хирургическое лечение коарктации аорты в сочетании с гипоплазией дуги. Сибирский медицинский журнал. 2014; 29 (3): 80–86.


Review

For citations:


Manukyan M.A., Falkovskaya A.Yu., Mordovin V.F., Saushkin V.V., Ryabova T.R. A clinical case of secondary hypertension in a young woman with coarctation of the aorta. Bulletin of Siberian Medicine. 2021;20(4):205-210. https://doi.org/10.20538/1682-0363-2021-4-205-210

Views: 1070


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)