Case Report
Year 2018,
Volume: 43 Issue: 4, 1042 - 1044, 29.12.2018
Abstract
Midaortic syndrome is an uncommon disease characterized by segmental or diffuse narrowing of abdominal or distal descending thorasic aorta. Majority of the cases are idiopathic but some are secondary to fibromuscular dysplasia, giant cell arteritis, Moyamoya disease or genetic diseases such as neurofibromatosis, Williams’ syndrome and Alagille syndrome. It is very rare in newborn period. Here we present a 40 days old infant who admitted to hospital for respiratory distress, hypertension, heart failure and was diagnosed as midaortic syndrome. She had medical treatment but unfortunately died due to heart failure when she was two months old age.
Keywords
References
- 1- Cohen JR, Birnbaum E. Coarctation of the abdominal aorta. J Vasc Surg 1988; 8 (2): 160-4.
- 2- Connolly JE, Wilson SE; Lawrence PL, Fujitani RM. Middle aortic syndrome: distal thoracic and abdominal coarctation, a disorder with multiple etiologies. J Am Coll Surg 2002; 194 (6): 774-81.
- 3- Rumman RK, Nickel C, Matsuda-Abenidi M, et al. Disease beyond the arch: A systematic review of middle aortic syndrome in childhood. Am J Hypertension 2015; 28 (7): 833-46.
- 4- Sen PK, Kinare SG, Engineer SD, Parulkar GB. The middle aortic syndrome. Br Heart J 1963; 225: 610-8.
- 5- Maycock W. Congenital stenosis of the abdominal aorta. Am Heart J 1937; 13: 633-46.
- 6- Siassi B, Klyman G, Emmanoulides GC. Hypoplasia of the abdominal aorta associated with rubella syndrome. Am Dis Child 1970; 120 (5): 476-79.
- 7- Graham LM, Zelenock GB, Erlandson EE, Coran AG, Lindenauner SM, Stanley JC. Abdominal aortic coarctation and segmental hypoplasia. Surgery 1979; 86 (4): 519-29.
- 8- Panayiotopoulos YP, Tyrrell MR, Koffman G, Reidy F, Haycock GB, Taylor PR. Mid-aortic syndrome presenting in childhood. Br J Surg 1996; 83 (2): 235-40.
- 9- Poulias GE, Skoutas B, Doundoulakis N, Haycock GB, Taylor PR. The mid-aortic dysplastic syndrome. Surgical considerations with a 2 to 18 year follow-up and selective histopathological study. Eur J Vasc Surg 1990; 4 (1): 75-82.
- 10- Harmon CM, Azzuqa AA; Ranganathan S, Mahmood B. Mid-aortic syndrome in a preterm infant: A rare cause of hypertension. J Pediatrics 2015; 167 (2): 492.e1.
- 11- Sethna CB, Kaplan BS, Cahill AM, Velazquez OC, Meyers KEC. Idiopathic mid-aortic syndrome in children. Pediatr Nephrol 2008; 23 (7): 1135-42.
- 12- Zeltser I, Parnes IA, Ko H, Holzman IR, Kamenir SA. Midaortic syndrome in the fetus and premature newborn: A new etiology of nonimmune hydrops fetalis and reversible fetal cardiomyopathy. Pediatrics 2003; 111 (6 Pt): 1437-42.
- 13- Das BB, Recto M, Shoemaker L, Mitchell M, Austin EH. Mid-aortic syndrome presenting as neonatal hypertension. Pediatr Cardiol 2008; 29 (5): 1000-1.
- 14- Izraelit A, Kim M, Ratner V, Levasseur SM, Seigle R, Krishnamurthy G. Mid-aortic syndrome in two preterm infants. J Perinatol 2012; 32 (5): 390-2.
- 15- Terramani TT, Salim A, Hood DB, Rowe VL, Weaver FA. Hypoplasia of the descending thoracic and abdominal aorta: a report of two cases and review of the literature. J Vasc Surg 2002; 36 (4): 844–8.
- 16- ten Dam K, van der Palen RL, Tanke RB, Schreuder MF, de Jong H. Clinical recognition of mid-aortic syndrome in children. Eur J Pediatr 2013; 172 (3); 413-6.
- 17- Kim HB,Vakili K, Modi BP, Ferguson MA, Guillot AP, Potanos KM, et al. A novel treatment for the midaortic syndrome. N Engl J Med 2012; 367 (24): 2361-62.
Year 2018,
Volume: 43 Issue: 4, 1042 - 1044, 29.12.2018
Abstract
Midaortik sendrom nadir bir hastalık olup abdominal veya distal inen aortanın segmental veya difüz darlığı ile karakterizedir. Olguların çoğu idiyopatik olmakla birlikte bir kısmı da fibromüsküler displazi, dev hücreli aterit, Moyamoya hastalığı veya nörofibramatozis, Williams’ sendromu ve Alagille sendromu gibi genetik hastalıklara ikincildir. Burada 40 günlük iken hastaneye solunum sıkıntısı, kalp yetmezliği tablosunda başvuran ve midaortik sendrom tanısı alan bir olgu sunulmuştur. Olguda medikal tedavi tercih edilmiş ancak bebek iki aylık iken eksitus olmuştur.
Keywords
References
- 1- Cohen JR, Birnbaum E. Coarctation of the abdominal aorta. J Vasc Surg 1988; 8 (2): 160-4.
- 2- Connolly JE, Wilson SE; Lawrence PL, Fujitani RM. Middle aortic syndrome: distal thoracic and abdominal coarctation, a disorder with multiple etiologies. J Am Coll Surg 2002; 194 (6): 774-81.
- 3- Rumman RK, Nickel C, Matsuda-Abenidi M, et al. Disease beyond the arch: A systematic review of middle aortic syndrome in childhood. Am J Hypertension 2015; 28 (7): 833-46.
- 4- Sen PK, Kinare SG, Engineer SD, Parulkar GB. The middle aortic syndrome. Br Heart J 1963; 225: 610-8.
- 5- Maycock W. Congenital stenosis of the abdominal aorta. Am Heart J 1937; 13: 633-46.
- 6- Siassi B, Klyman G, Emmanoulides GC. Hypoplasia of the abdominal aorta associated with rubella syndrome. Am Dis Child 1970; 120 (5): 476-79.
- 7- Graham LM, Zelenock GB, Erlandson EE, Coran AG, Lindenauner SM, Stanley JC. Abdominal aortic coarctation and segmental hypoplasia. Surgery 1979; 86 (4): 519-29.
- 8- Panayiotopoulos YP, Tyrrell MR, Koffman G, Reidy F, Haycock GB, Taylor PR. Mid-aortic syndrome presenting in childhood. Br J Surg 1996; 83 (2): 235-40.
- 9- Poulias GE, Skoutas B, Doundoulakis N, Haycock GB, Taylor PR. The mid-aortic dysplastic syndrome. Surgical considerations with a 2 to 18 year follow-up and selective histopathological study. Eur J Vasc Surg 1990; 4 (1): 75-82.
- 10- Harmon CM, Azzuqa AA; Ranganathan S, Mahmood B. Mid-aortic syndrome in a preterm infant: A rare cause of hypertension. J Pediatrics 2015; 167 (2): 492.e1.
- 11- Sethna CB, Kaplan BS, Cahill AM, Velazquez OC, Meyers KEC. Idiopathic mid-aortic syndrome in children. Pediatr Nephrol 2008; 23 (7): 1135-42.
- 12- Zeltser I, Parnes IA, Ko H, Holzman IR, Kamenir SA. Midaortic syndrome in the fetus and premature newborn: A new etiology of nonimmune hydrops fetalis and reversible fetal cardiomyopathy. Pediatrics 2003; 111 (6 Pt): 1437-42.
- 13- Das BB, Recto M, Shoemaker L, Mitchell M, Austin EH. Mid-aortic syndrome presenting as neonatal hypertension. Pediatr Cardiol 2008; 29 (5): 1000-1.
- 14- Izraelit A, Kim M, Ratner V, Levasseur SM, Seigle R, Krishnamurthy G. Mid-aortic syndrome in two preterm infants. J Perinatol 2012; 32 (5): 390-2.
- 15- Terramani TT, Salim A, Hood DB, Rowe VL, Weaver FA. Hypoplasia of the descending thoracic and abdominal aorta: a report of two cases and review of the literature. J Vasc Surg 2002; 36 (4): 844–8.
- 16- ten Dam K, van der Palen RL, Tanke RB, Schreuder MF, de Jong H. Clinical recognition of mid-aortic syndrome in children. Eur J Pediatr 2013; 172 (3); 413-6.
- 17- Kim HB,Vakili K, Modi BP, Ferguson MA, Guillot AP, Potanos KM, et al. A novel treatment for the midaortic syndrome. N Engl J Med 2012; 367 (24): 2361-62.
There are 17 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 29, 2018 |
| Acceptance Date | December 16, 2017 |
| Published in Issue | Year 2018 Volume: 43 Issue: 4 |
Cited By
This journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.