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Acquired coarctation of the abdominal aorta related to umbilical artery catheterization

Michael E Seifert1, Majid Rasoulpour

  • 1University of Connecticut School of Medicine, Farmington, USA. michael.seifert@childrens.harvard.edu

Connecticut Medicine
|May 16, 2009
PubMed

Insights

Severe hypertension in children is uncommon and often linked to underlying conditions. This case highlights acquired abdominal aortic coarctation as a rare cause, potentially from neonatal umbilical artery catheterization.

Area of Science:

  • Pediatric Cardiology
  • Vascular Surgery

Background:

  • Severe hypertension is rare in pediatric patients.
  • Hypertension in children frequently indicates an underlying secondary cause.

Purpose of the Study:

  • To present a case of severe hypertension in a child.
  • To identify an acquired coarctation of the abdominal aorta as the secondary cause.
  • To hypothesize the etiology of the aortic coarctation.

Main Methods:

  • Case review of a five-year-old boy with severe hypertension.
  • Diagnostic evaluation to identify the cause of hypertension.
  • Review of potential risk factors and historical data.

Main Results:

  • The patient presented with severe hypertension.
  • An acquired coarctation of the abdominal aorta was diagnosed.
  • Umbilical artery catheterization during the neonatal period was identified as a potential cause.

Conclusions:

  • Acquired coarctation of the abdominal aorta can cause severe hypertension in children.
  • Endothelial damage from neonatal umbilical artery catheterization is a plausible mechanism for acquired aortic coarctation.

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