In the case reported by Dauphin et al ., surgical evacuation of the spinal epidural hematoma was performed before neurological complication developed and the coarctation
was surgically corrected thereafter.
In all procedures covered CheathamPlatinum stents (cCP) (NuMed, Hopkinton, New York) was used but choice of balloon varied depending upon severity of coarctation
segment and availability.
About 6 - 8% of patients with congenital heart disease were found to have coarctation
of aorta at thoracic inlet.
(17) Late complications include recurrent coarctation
and pseudo-aneurysm at the repair site.
Upper extremity hypertension, a peak gradient more than 20 mmHg in patients with or without hypertension, more than 50% of stenosis compared to the aortic diameter at the level of diaphragm indicate a significant coarctation
, warranting correction.
Gersony, "Early diagnosis of coarctation
of the aorta in children: a continuing dilemma," Pediatrics, vol.
Stanley, "Abdominal aortic coarctation
and segmental hypoplasia," Surgery, vol.
of the aorta in adults accounts for 0.2% of all hypertension cases in adults .
Here, we report a newborn with DWM and aortic coarctation
. Our aim was to emphasize that a better and ready determination of the neurological malformation would have made the diagnosis of the aortic coarctation
simpler and precocious, knowing that DWM can be associated with cardiac anomalies.
Clinical data were retrospectively reviewed to screen for patients with CoA and AAH, with AAH diagnosed according to the CHD database. Between January 2009 and December 2015, a total of 22 infants and young children with CoA and AAH underwent coarctation
resection and aortoplasty with autologous pulmonary artery patch were enrolled in this study.
KEY WORDS: Dilated cardiomyopathy; Reversible Left ventricular systolic dysfunction; Coarctation
At age 2 months, the boy had flat facial profile, hypotonia, ichthyosis, cataracts, asymmetric rhizomelic shortening, aortic coarctation
, marked generalized stippled calcifications, vertebral segmentation defects, developmental delay and moderate hydrocephaly requiring shunt.