Ropri Ayesha, Randall Jess
Internal Medicine/Pediatrics, Albany Medical Center, Albany, USA.
Pediatrics, Albany Medical Center, Albany, USA.
Cureus. 2023 Feb 21;15(2):e35282. doi: 10.7759/cureus.35282. eCollection 2023 Feb.
A term baby was born with findings of edema, harsh murmur, and hypertension. Pregnancy course was complicated by hydrops fetalis. Upon birth, blood work did not reveal any abnormalities, but an echocardiogram showed patient in high-output heart failure. A computed tomography (CT) chest, abdomen, and pelvis revealed narrowing of aorta in the thoracic region to distal iliac and renal arteries, consistent with mid-aortic syndrome. Mid-aortic syndrome, which results in the narrowing of thoracic or abdominal aorta, is a rare cause of hypertension, especially in newborns. This case elucidates the importance of maintaining a broad differential when encountering an uncommon problem in a newborn.
一名足月儿出生时出现水肿、粗糙杂音和高血压。孕期过程并发胎儿水肿。出生时，血液检查未发现任何异常，但超声心动图显示患儿处于高输出量心力衰竭状态。胸部、腹部和骨盆的计算机断层扫描（CT）显示胸段主动脉至髂动脉远端和肾动脉变窄，符合中段主动脉综合征。中段主动脉综合征导致胸主动脉或腹主动脉变窄，是高血压的罕见原因，尤其是在新生儿中。该病例阐明了在新生儿中遇到不常见问题时保持广泛鉴别诊断的重要性。
