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 Sanatani1,*
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:
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:
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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