Wang Peng, Jiang Rui
Department of Radiology, The General Hospital of Western Theater Command, Chengdu, CHN.
Cureus. 2019 Dec 31;11(12):e6529. doi: 10.7759/cureus.6529.
In this case, we report a simple coarctation of the aortic isthmus (CoA) in a patient without intracardiac abnormalities or patent ductus arteriosus, who was misdiagnosed as essential hypertension for over 20 years. The patient underwent X-rays, echocardiography, and 320-slice CT angiography (CTA). Among them, CTA comprehensively showed the diameter of the aortic coarctation, the anatomy and morphology of the heart and aortic arch, and the collateral circulation before surgery. It also accurately evaluated the postoperative status of the bypass vessel. This article highlights the excellent performance of 320-slice CTA in the diagnosis, surgical planning, and follow-up in CoA. Moreover, when adolescents suffer from refractory hypertension, the possibility of organic cardiovascular disease should be considered.
在本病例中，我们报告了一名主动脉峡部单纯缩窄（CoA）患者，该患者无心脏内异常或动脉导管未闭，被误诊为原发性高血压超过20年。患者接受了X线、超声心动图和320层CT血管造影（CTA）检查。其中，CTA全面显示了主动脉缩窄的直径、心脏和主动脉弓的解剖结构及形态，以及术前的侧支循环情况。它还准确评估了旁路血管的术后状况。本文强调了320层CTA在CoA诊断、手术规划及随访中的出色表现。此外，青少年患有难治性高血压时，应考虑器质性心血管疾病的可能性。
