Correction 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 headache identified as single symptom, not using any medication. Physical examination showed the pressure difference between upper and lower limbs, and 190/140 mmHg in the left arm, 190/140 mmHg in the right arm, 130/100 mmHg in the left lower limb and 130/90 mmHg in the right leg, in addition to lower pulse diminished. The heart sounds were normal with systolic murmur +/6+ in the left lower sternal border. Murmur was not noted on the back.