Abolodje Efe, Campbell Francis Chukwuebuka, Etumudor Stellamaris Nwanneka, Ejumudo Fred Ofakpo, Ovili Chukwuemeke
Department of Paediatrics, Delta State University Teaching Hospital, Oghara, Nigeria.
Department of Surgery, Delta State University Teaching Hospital, Oghara, Nigeria.
Niger Med J. 2025 Jun 16;66(2):799-804. doi: 10.71480/nmj.v66i2.710. eCollection 2025 Mar-Apr.
Coarctation of the aorta is an obstructive form of congenital heart defects that presents with upper limb hypertension. If untreated, Coarctation of the aorta can lead to left ventricular dysfunction and cerebral vasculopathy. Missed diagnosis due to its subtle presentation is common with attendant complications. This is a case report of an apparently healthy 3-year-old boy who lapsed into a coma after a trivial fall. He had upper limb hypertension and the pulses in the lower limbs were barely palpable. Brain computed tomography (CT) revealed non-traumatic haemorrhagic stroke and echocardiography showed severe left ventricular hypertrophy and severe coarctation of the aorta. Coarctation of the aorta can manifest as chronic upper limb hypertension in children with complicated non-traumatic haemorrhagic stroke. Routine blood pressure measurement in young children can serve as a screening tool for early diagnosis of the condition.
主动脉缩窄是一种先天性心脏缺陷的梗阻形式，表现为上肢高血压。如果不进行治疗，主动脉缩窄可导致左心室功能障碍和脑血管病变。由于其表现不明显，漏诊很常见，并伴有相应并发症。这是一例病例报告，一名看似健康的3岁男孩在轻微跌倒后陷入昏迷。他有上肢高血压，下肢脉搏几乎触不到。脑部计算机断层扫描（CT）显示非创伤性出血性中风，超声心动图显示严重左心室肥厚和严重主动脉缩窄。主动脉缩窄在患有复杂非创伤性出血性中风的儿童中可表现为慢性上肢高血压。对幼儿进行常规血压测量可作为该疾病早期诊断的筛查工具。
