Open Access

CASE REPORT

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

by 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.

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Keywords

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