Al-Musawi Mohammed, Yuser Akeel, AlOmaishi Suhad, Kareem Oula, Rubay David
Surgery, Anschutz Medical Campus, University of Colorado, Aurora, USA.
Cardiovascular Surgery, Ibn AlNafees Center for Thoracic and Cardiovascular Surgery, Baghdad, IRQ.
Cureus. 2021 Nov 2;13(11):e19215. doi: 10.7759/cureus.19215. eCollection 2021 Nov.
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.
中段主动脉综合征（MAS）是一种发生于儿童和青年的罕见疾病。反映血管受累的最重要临床特征是全身性高血压。当常规超声心动图在存在主动脉血管阻塞临床特征的情况下未能识别出与胸主动脉缩窄相关的特征性形态学或多普勒血流模式时，通常在继发性高血压的影像学评估期间做出诊断。在本报告中，我们介绍了一例22岁男性病例，该患者出现药物治疗无效的全身性高血压，其系统的诊断检查显示诊断为累及双侧肾动脉的MAS。
