Key result
Transcatheter balloon dilatation and medical management successfully resolved severe abdominal pain and normalized blood pressure in a 9-year-old child with aortic coarctation.
Case Report (n=1)
Aortic coarctation can present atypically as severe abdominal pain in children, which resolves with blood pressure control and definitive treatment.
May prompt evaluation for coarctation in children with unexplained abdominal pain; single case leaves open broader applicability.
Coarctation of aorta is the most common correctable cardiovascular cause of hypertension and early diagnosis is often not made. We report a 9-year-old child who was admitted with severe intractable abdominal pain as the presenting symptom of post-subclavian aortic coarctatation with hypertension. His pain resolved after control of the hypertension with parenteral antihypertensives and narcotic analgesics in the pediatric intensive care unit. He subsequently underwent transcatheter balloon dilatation of the aortic coarctation and remains well with normal blood pressure on follow up.
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A 2005 study conducted a case report in Aortic coarctation with hypertension (n=1). Transcatheter balloon dilatation and medical management was evaluated on Resolution of pain and blood pressure control. Transcatheter balloon dilatation and medical management successfully resolved severe abdominal pain and normalized blood pressure in a 9-year-old child with aortic coarctation.
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