Young male with syncope, absent lower limb pulses, hypertension and systolic murmur.
نویسندگان
چکیده
Fig. 1 : Plain frontal chest radiographminimal cardiomegaly with notching and erosion of posterior lower rib margins (arrows). Fig. 2 : CT Aortogram showing non-opacifi cation (arrow) of aorta just distal to origin of a dilated left subclavian artery suggestive of coarctation. Fig. 3 : Dilated tortuous internal mammary and intercostal arteries on CT aortogram. Fig. 4 : Aorta distal to coarctation showing good contrast opacifi cation, fi lling through multiple collaterals (arrow).
منابع مشابه
Basics of pediatric pulmonary hypertension
A 13-year-old girl follows up with her pediatrician after an episode of syncope while running. She reports feeling more short of breath with activities and more fatigued. The pediatrician notes her to be in no acute distress, with a thin build, clear lung fields with normal saturations, and prominent precordium on exam with mild tachycardia. She has a 2/6 systolic murmur noted at the left lower...
متن کاملGraves Induced Reversible LVOT Obstruction
A 59-year-old male with a past medical history of obesity (BMI=31), controlled hypertension (HTN) and hyperlipidemia (HLD), presented for evaluation of new exertional dyspnea of three weeks duration. He reported difficulty climbing one flight of stairs in his house; six months ago he was able to exercise without limitations. He also complained of palpitations which he described as intermittent,...
متن کاملCorrection of aortic coarctation with tube interposition in a 12 years-old child
Article received on October, 25th, 2010 Article accepted onNovember, 15th, 2010 CLINICAL DATA 12-year-old female child, 53 kg, brown, from Palestina, SP. She was referred to our hospital’s pediatric service presenting hypertension (240/140 mmHg) during surgery to remove a synovial cyst in the right hand. The anamnesis of admission to the Pediatric Cardiology Service indentified holocranial head...
متن کاملAn unusal case of coarctation associated with hypoplasia of the aortic arch and tissue paper aortic wall thickness: a difficult surgical problem
Results Patient is a male age 21 yo, without relevant past medical history and class I NYHA. Six months prior to diagnosis presented he several episodes of syncope like symptoms and chest pain, that limited his physical activity. Preemployment medical evaluation revealed a systolic murmur III / VI throughout the precordium with radiation to the neck, pressure in upper extremities of 190/100 mmH...
متن کاملPatent ducts arteriosus with pulmonary hypertension.
In most cases of patent ductus arteriosus the diagnosis is readily made on recognition of the typical murmur. In some, however, the continuous murmur is lacking, and a systolic murmur only, of variable loudness, is heard at the pulmonary area. This is not uncommon in infants and young children, who may later develop the characteristic murmur (Gilchrist, 1945). Occasionally the continuous murmur...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 59 شماره
صفحات -
تاریخ انتشار 2011