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The Use of Systematic Clinical Approach in Diagnosing Rare Cases of Secondary Hypertension: A Case Report of Mid Aortic Syndrome in a Young Patient

Authors :
Oula Kareem
Mohammed Al-Musawi
Suhad AlOmaishi
Akeel Yuser
David Rubay
Source :
Cureus
Publication Year :
2021
Publisher :
Cureus, Inc., 2021.

Abstract

Mid aortic syndrome (MAS) is a rare disease that occurs in children and young adults. The most important clinical feature reflecting vascular involvement is the presence of systemic hypertension. The diagnosis is usually made during the imaging assessment of secondary hypertension when routine echocardiography fails to identify the characteristic morphological or Doppler flow patterns associated with thoracic arch coarctation in the presence of the clinical features of aortic vascular obstruction. In this report, we present a case of a 22-year-old male who presented with systemic hypertension not responding to medical treatment, and whose systematic diagnostic workup revealed the diagnosis of MAS involving both renal arteries.

Details

ISSN :
21688184
Database :
OpenAIRE
Journal :
Cureus
Accession number :
edsair.doi.dedup.....238686885ae0313118a29cba3e43c465
Full Text :
https://doi.org/10.7759/cureus.19215