Renal Doppler Ultrasound – a Late Diagnosis of Aortic Coarctation.

Authors

  • Ana Luísa Pinto Hospital do Divino Espírito Santo de Ponta Delgada, São Miguel, Açores, Portugal https://orcid.org/0000-0003-4275-0670
  • Alexandra Mesquita Hospital do Divino Espírito Santo de Ponta Delgada, São Miguel, Açores, Portugal
  • João Pedro Vieira Hospital do Divino Espírito Santo de Ponta Delgada, São Miguel, Açores, Portugal
  • Diogo Garrido Hospital do Divino Espírito Santo de Ponta Delgada, São Miguel, Açores, Portugal
  • Sofia Dutra Hospital do Divino Espírito Santo de Ponta Delgada, São Miguel, Açores, Portugal

DOI:

https://doi.org/10.48729/pjctvs.350

Keywords:

Aortic Coarctation, Hypertension, Ultrasonography, Doppler, Congenital Heart Defects

Abstract

Aortic coarctation is characterized by a segmental narrowing of the aortic lumen, usually diagnosed and treated in the neonatal period or early childhood, but can remain undiagnosed until adulthood. It manifests as a broad spectrum of signs and symptoms, ranging from mild to severe, of which arterial hypertension is one of the most common. In this article, the authors describe the clinical case of a 9-year-old child under investigation in the Pediatric Department for secondary causes of arterial hypertension. A renal Doppler ultrasound study revealed the presence of bilateral parvus et tardus waveform morphology in renal and intrarenal arteries and the proximal abdominal aorta. These findings were suspicious for diagnosing aortic coarctation, which thoracic CTangio confirmed.

Downloads

Download data is not yet available.

References

Sidney CLO, Ch’ng LS, Aziz ABA. Discovery of coarctation of the aorta following renal doppler sonography. Med J Malaysia. 2018;73:330-31.

Palminha JM, Carrilho, EM. Orientação Diagnóstica em Pediatria. 1ª ediçao. Lisboa: Lidel; 2003.

Stein MW, Koenigsberg M, Grigoropoulos J, Cohen BC, Issenberg H. Aortic coarctation diagnosed in a hypertensive child undergoing Doppler sonography for suspected renal artery stenosis. Pediatr Radiol. 2002;32:384–6. DOI:10.1007/s00247-002-0656-0.

Sousa G, Carvalho T, Alfaiate T, Veiga e Moura A, Cruz L, Ferreira, et al. Coarctação da aorta: uma causa rara de hipertensão arterial. RPMI. 2001;8(1):7-9.

McLeary MS, Rouse GA. Tardus-Parvus Doppler Signals in the Renal Arteries: A Sign of Pediatric Thoracoabdominal Aortic Coarctations. AJR. 1996;167:521-3. DOI:10.2214/ajr.167.2.8686641.

Tarzamni MK, Nezami N, Ardalan MR, Etemadi J, Noshad H, Samani FG, et al. Serendipitous diagnosis of aortic coarctation by bilateral parvus et tardus renal Doppler flow pattern. J Cardiovasc Ultrasound. 2007;5(44)1-6. DOI:10.1186/1476-7120-5-44.

Pozniak MA, Allan PL. Clinical Doppler Ultrasound. 3rd edition. Churchill Livingstone Elsevier; 2014.

Shaddy RE, Snider R, Silverman NH, Lutin W. Pulsed Doppler findings in patients with coarctation of the aorta. Circulation. 1985;73(1):82-8. DOI:10.1161/01.CIR.73.1.82C.

Kim Y Y, Andrade L, Cook SC. Aortic Coarctation. Cardiol Clin. 2020;38:337–51. DOI:10.1016/j.ccl.2020.04.003.

Downloads

Published

11-10-2023

How to Cite

1.
Pinto AL, Mesquita A, Vieira JP, Garrido D, Dutra S. Renal Doppler Ultrasound – a Late Diagnosis of Aortic Coarctation. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Oct. 11 [cited 2024 May 2];30(3):89-91. Available from: https://pjctvs.com/index.php/journal/article/view/350

Issue

Vol. 30 No. 3 (2023): Jul-Sep

Section

Clinical Cases

Categories

License

Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.