{
  "authors": [
    {
      "author": "<NAME>"
    },
    {
      "author": "<NAME>"
    },
    {
      "author": "<NAME>"
    },
    {
      "author": "<NAME>"
    }
  ],
  "doi": "10.1186/1756-0500-5-659",
  "publication_date": "2012-12-01",
  "id": "EN116725",
  "url": "https://pubmed.ncbi.nlm.nih.gov/23194278",
  "source": "BMC research notes",
  "source_url": "",
  "licence": "CC BY",
  "language": "en",
  "type": "pubmed",
  "description": "",
  "text": "A 13 year old girl presented with epistaxis, persistent headache and uncontrolled hypertension. Her clinical examination revealed normal radial, very feeble femoral and absent other lower limb pulses. There was a blood pressure discrepancy of 50/40 mm of Hg between two arms. There were bruits over multiple areas including the abdominal aorta. She had features of left ventricular hypertrophy. Her Arch aortogram showed hugely dilated arch of aorta which became abruptly normal just after origin of left subclavian artery. There was ostio-proximal stenosis of right bracheocephalic artery, left common carotid and left subclavian artery with post stenotic dilatation of all the vessels. Abdominal aortogram revealed critical stenosis of abdominal aorta above the origin of renal arteries with a pressure gradient of 80/11 mm of Hg."
}