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Case Reports
. 2024 Mar 8;8(3Part A):210-214.
doi: 10.1016/j.case.2023.12.016. eCollection 2024 Mar.

"Mind Your Arch"-An Unusual Cause of Systemic Hypertension in Pregnancy

Mara Atherton  1 , Bryana Levitan  2 , Preeti Ramachandran  3
Affiliations
Case Reports

"Mind Your Arch"-An Unusual Cause of Systemic Hypertension in Pregnancy

Mara Atherton et al. CASE (Phila). .
No abstract available

Keywords: Cardio-obstetrics; Coarctation of aorta; Congenital heart disease.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Two-dimensional TTE, suprasternal long-axis view of the aortic arch, demonstrates severe luminal narrowing (∗) in the aortic isthmus distal to the origin of the left subclavian artery. BA, Brachiocephalic artery; LCCA, left common carotid artery; LSCA, left subclavian artery; TAA, transverse aortic arch.
Figure 2
Figure 2
Two-dimensional TTE, suprasternal long-axis view with color-flow Doppler, demonstrates aliasing (arrows) and lack of antegrade flow across aortic isthmus. LSCA, Left subclavian artery.
Figure 3
Figure 3
Two-dimensional TTE, continuous-wave Doppler across descending aorta, demonstrates abnormal forward flow in diastole and a peak Doppler velocity of 2.5 m/sec.
Figure 4
Figure 4
Two-dimensional TTE, abdominal aortic pulsed-waved spectral Doppler profile, demonstrates significantly abnormal Doppler pattern with blunted profile and forward flow in diastole.
Figure 5
Figure 5
Computed tomography scan with three-dimensional volume-rendered reconstruction showing the aortic arch. There is severe CoA at the region of the aortic isthmus, distal to the left subclavian artery (LSCA) origin, along with multiple descending aortic collaterals (red arrows).
Figure 6
Figure 6
Two-dimensional TTE, aortic arch continuous-wave Doppler, demonstrates peak aortic arch Doppler velocity of 2.5 m/sec (left). Two-dimensional TTE, abdominal aortic pulsed-wave Doppler, demonstrates normal pulsatile flow with absence of forward flow in diastole after intervention (right).
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