Mid‐aortic syndrome: a rare cause of heart failure in infants
Abstract This case reports describe a rare disease, mid‐aortic syndrome (MAS), that can cause severe heart failure and hypertension in infancy. The typical images, key points of diagnosis, and therapy methods of the disease have also been presented. We report two critical thoracoabdominal aortic coa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-10-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.14066 |
| _version_ | 1797794291629686784 |
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| author | Lu Zhao Li Zhu Qu‐ming Zhao Lan He Xue‐cun Liang Lai‐Shuan Wang Lin Wu |
| author_facet | Lu Zhao Li Zhu Qu‐ming Zhao Lan He Xue‐cun Liang Lai‐Shuan Wang Lin Wu |
| author_sort | Lu Zhao |
| collection | DOAJ |
| description | Abstract This case reports describe a rare disease, mid‐aortic syndrome (MAS), that can cause severe heart failure and hypertension in infancy. The typical images, key points of diagnosis, and therapy methods of the disease have also been presented. We report two critical thoracoabdominal aortic coarctation cases in infants aged 2 and 11 months with severe heart failure. The patients were initially misdiagnosed as dilated myocardiopathy, with the correct diagnosis confirmed through imaging. Both patients underwent balloon angioplasty; one patient also had bare‐metal stents implanted. The patient treated with balloon angioplasty alone died after the procedure, whereas the other patient recovered well. In conclusion, careful physical examinations, especially upper and lower extremity blood pressure differences and palpation of upper and lower limb pulses, are critical in unexplained infant heart failure cases. Stent implantation may be a safer and more effective treatment than simple balloon angioplasty in infants with MAS. |
| first_indexed | 2024-03-13T03:00:35Z |
| format | Article |
| id | doaj.art-6f526b772d3a4a41b6bc58f5e105a048 |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-03-13T03:00:35Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-6f526b772d3a4a41b6bc58f5e105a0482023-06-27T14:49:58ZengWileyESC Heart Failure2055-58222022-10-01953619362410.1002/ehf2.14066Mid‐aortic syndrome: a rare cause of heart failure in infantsLu Zhao0Li Zhu1Qu‐ming Zhao2Lan He3Xue‐cun Liang4Lai‐Shuan Wang5Lin Wu6Cardiovascular Center Children's Hospital of Fudan University Shanghai 201102 ChinaDepartment of Neonatology Children's Hospital of Fudan University Shanghai 201102 ChinaCardiovascular Center Children's Hospital of Fudan University Shanghai 201102 ChinaCardiovascular Center Children's Hospital of Fudan University Shanghai 201102 ChinaCardiovascular Center Children's Hospital of Fudan University Shanghai 201102 ChinaDepartment of Neonatology Children's Hospital of Fudan University Shanghai 201102 ChinaCardiovascular Center Children's Hospital of Fudan University Shanghai 201102 ChinaAbstract This case reports describe a rare disease, mid‐aortic syndrome (MAS), that can cause severe heart failure and hypertension in infancy. The typical images, key points of diagnosis, and therapy methods of the disease have also been presented. We report two critical thoracoabdominal aortic coarctation cases in infants aged 2 and 11 months with severe heart failure. The patients were initially misdiagnosed as dilated myocardiopathy, with the correct diagnosis confirmed through imaging. Both patients underwent balloon angioplasty; one patient also had bare‐metal stents implanted. The patient treated with balloon angioplasty alone died after the procedure, whereas the other patient recovered well. In conclusion, careful physical examinations, especially upper and lower extremity blood pressure differences and palpation of upper and lower limb pulses, are critical in unexplained infant heart failure cases. Stent implantation may be a safer and more effective treatment than simple balloon angioplasty in infants with MAS.https://doi.org/10.1002/ehf2.14066Heart failure infantsMid‐aortic syndrome |
| spellingShingle | Lu Zhao Li Zhu Qu‐ming Zhao Lan He Xue‐cun Liang Lai‐Shuan Wang Lin Wu Mid‐aortic syndrome: a rare cause of heart failure in infants ESC Heart Failure Heart failure infants Mid‐aortic syndrome |
| title | Mid‐aortic syndrome: a rare cause of heart failure in infants |
| title_full | Mid‐aortic syndrome: a rare cause of heart failure in infants |
| title_fullStr | Mid‐aortic syndrome: a rare cause of heart failure in infants |
| title_full_unstemmed | Mid‐aortic syndrome: a rare cause of heart failure in infants |
| title_short | Mid‐aortic syndrome: a rare cause of heart failure in infants |
| title_sort | mid aortic syndrome a rare cause of heart failure in infants |
| topic | Heart failure infants Mid‐aortic syndrome |
| url | https://doi.org/10.1002/ehf2.14066 |
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