Mid‐aortic syndrome: a rare cause of heart failure in infants

This case reports describe a rare disease, mid‐aortic syndrome (MAS), that can cause severe heart failure and hypertension in infancy. The typical images, key points of diagnosis, and therapy methods of the disease have also been presented. We report two critical thoracoabdominal aortic coarctation...

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Bibliographic Details
Published inESC Heart Failure Vol. 9; no. 5; pp. 3619 - 3624
Main Authors Zhao, Lu, Zhu, Li, Zhao, Qu‐ming, He, Lan, Liang, Xue‐cun, Wang, Lai‐Shuan, Wu, Lin
Format Journal Article
LanguageEnglish
Published England John Wiley & Sons, Inc 01.10.2022
John Wiley and Sons Inc
Wiley
Subjects
Abdomen
Angioplasty
Angioplasty, Balloon - methods
Aortic Coarctation - complications
Aortic Coarctation - diagnosis
Aortic Coarctation - therapy
Aortic dissection
Auscultation
Babies
Blood pressure
Cardiac arrhythmia
Cardiomyopathy
Case Report
Case Reports
Coronary vessels
Diuretics
Edema
Ejection fraction
Electrocardiography
Heart failure
Heart Failure - diagnosis
Heart Failure - etiology
Heart Failure - therapy
Heart failure infants
Heart rate
Humans
Hypertension
Infant
Laboratories
Medical imaging
Mid‐aortic syndrome
Stents
Syndrome
Treatment Outcome
Veins & arteries
Mid-aortic syndrome
Heart failure infants
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Summary:This case reports describe a rare disease, mid‐aortic syndrome (MAS), that can cause severe heart failure and hypertension in infancy. The typical images, key points of diagnosis, and therapy methods of the disease have also been presented. We report two critical thoracoabdominal aortic coarctation cases in infants aged 2 and 11 months with severe heart failure. The patients were initially misdiagnosed as dilated myocardiopathy, with the correct diagnosis confirmed through imaging. Both patients underwent balloon angioplasty; one patient also had bare‐metal stents implanted. The patient treated with balloon angioplasty alone died after the procedure, whereas the other patient recovered well. In conclusion, careful physical examinations, especially upper and lower extremity blood pressure differences and palpation of upper and lower limb pulses, are critical in unexplained infant heart failure cases. Stent implantation may be a safer and more effective treatment than simple balloon angioplasty in infants with MAS.
Bibliography:Lu Zhao and Li Zhu contributed equally as co‐first authors.
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.14066