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Case Reports in Pediatrics
Volume 2013, Article ID 716438, 4 pages
http://dx.doi.org/10.1155/2013/716438
Case Report

Hypertension Associated with Coarctation of the Aorta Revisited: Case-Based Update from Experience of Three Children

Division of Pediatric Cardiology, Department of Pediatrics, Erciyes University Medical Faculty, Melikgazi, 38039 Kayseri, Turkey

Received 20 July 2013; Accepted 7 August 2013

Academic Editors: N. Arslan, F. Cachat, and T. Srivastava

Copyright © 2013 Ali Baykan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coarctation of the aorta (CoA) can present with different clinical pictures depending on the severity of the narrowness in the coarcted aortic segment in an age range between newborn and adolescence. Sometimes, it can cause intracranial hemorrhage or infarction when diagnosis and treatment are delayed. The aim of this report is taking attention to CoA as a cause of systemic hypertension and is also emphasizing the differences of diagnostic approach for hypertension in children from adults. Two cases of hypertensive cerebral hemorrhage and one case of hypertensive cerebellar infarction associated with CoA are reported. These cases help us to pay attention to the possibility of CoA in adolescents with hypertensive stroke. We want to emphasize the importance of physical examination for evaluation of hypertension and to impress the diagnostic approach for secondary hypertension in children.