When the Blood Pressure Misleads You: A Diagnostic Conundrum in an Unusual Case of Coarctation

Eva Kapravelou; Hugo Issa; Gordon Culham; Martin Hosking; Sanjiv Gandhi; Shubhayan Sanatani

doi:10.32604/CHD.2021.016548

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Open Access

CASE REPORT

When the Blood Pressure Misleads You: A Diagnostic Conundrum in an Unusual Case of Coarctation

Eva Kapravelou¹, Hugo Issa², Gordon Culham³, Martin Hosking¹, Sanjiv K. Gandhi², Shubhayan Sanatani^1,*
1 Department of Pediatrics, Division of Cardiology, University of British Columbia, Vancouver, Canada
2 Division of Pediatric Cardiothoracic Surgery, University of British Columbia, Vancouver, Canada
3 Department of Pediatric Radiology, British Columbia Children’s Hospital, Vancouver, Canada
* Corresponding Author: Shubhayan Sanatani. Email:

Congenital Heart Disease 2021, 16(6), 675-680. https://doi.org/10.32604/CHD.2021.016548

Received 24 March 2021; Accepted 25 May 2021; Issue published 08 July 2021

Abstract

A 4-month-old previously healthy baby was found to be in congestive heart failure with LV dysfunction and a right aortic arch with severe coarctation, undetectable by blood pressure measurements. A cardiac CT and central blood pressure led to the diagnosis of a unique anatomic variant of aortic coarctation. Once diagnosed the patient underwent surgery with an uncomplicated recovery.

Keywords

Aorta; coarctation; right arch; congenital heart disease

Cite This Article

Kapravelou, E., Issa, H., Culham, G., Hosking, M., Gandhi, S. K. et al. (2021). When the Blood Pressure Misleads You: A Diagnostic Conundrum in an Unusual Case of Coarctation. Congenital Heart Disease, 16(6), 675–680.

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