{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:32Z","timestamp":1756425872092,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,5,18]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Mid-aortic syndrome (MAS) is a rare vascular disease that usually leads to renovascular hypertension. With the predominant manifestations being intractable arterial hypertension and lower extremity arterial insufficiency, it has rarely been associated with dilated cardiomyopathy. We report a young girl with congestive heart failure, where the cause was initially attributed to dilated cardiomyopathy. A repeated echocardiogram 6\u2009months later brought the physician\u2019s suspicion of MAS because of the abnormal colour of Doppler from the subcostal view. Further assessment using CT angiography revealed discrete thoracic coarctation at the level of T10, with the narrowest diameter of 2.1\u2009mm, thus confirming the diagnosis. Her inflammatory markers and connective tissue screening were negative. She underwent successful stenting of coarctation of the aorta, which later caused improvement in her cardiac function. We highlighted the importance of looking for treatable causes of dilated cardiomyopathy and vigilant clinical and echocardiogram assessment with high suspicion to diagnose MAS.<\/jats:p>","DOI":"10.1136\/bcr-2024-259981","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T03:55:14Z","timestamp":1718855714000},"page":"e259981","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mid-aortic syndrome presented as dilated cardiomyopathy"],"prefix":"10.1136","volume":"17","author":[{"given":"Kah Yit","family":"Pang","sequence":"first","affiliation":[{"name":"Department of Paediatric, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5477-9847","authenticated-orcid":false,"given":"Putri","family":"Yubbu","sequence":"additional","affiliation":[{"name":"Department of Paediatric, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia"},{"name":"Hospital Sultan Idris Shah Serdang, Kajang, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norliza","family":"Ali","sequence":"additional","affiliation":[{"name":"Hospital Sultan Idris Shah Serdang, Kajang, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghee Tiong","family":"Koh","sequence":"additional","affiliation":[{"name":"Hospital Sultan Idris Shah Serdang, Kajang, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"2025082804273822000_17.6.e259981.1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1988.avs0080160"},{"key":"2025082804273822000_17.6.e259981.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-0767-4"},{"key":"2025082804273822000_17.6.e259981.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2006.11.167"},{"key":"2025082804273822000_17.6.e259981.4","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.25.5.610"},{"key":"2025082804273822000_17.6.e259981.5","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1055\/s-0030-1267933","article-title":"A 13-year-old girl with arterial hypertension\u2013mid-aortic syndrome","volume":"223","author":"Meyer","year":"2011","journal-title":"Klin Padiatr"},{"key":"2025082804273822000_17.6.e259981.6","doi-asserted-by":"publisher","DOI":"10.1177\/153100350501700302"},{"key":"2025082804273822000_17.6.e259981.7","first-page":"178","article-title":"Middle aortic syndrome as a cause of dilated cardiomyopathy","volume":"4","author":"Alehan","year":"2004","journal-title":"Anadolu Kardiyol Derg"},{"key":"2025082804273822000_17.6.e259981.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70401-9"},{"key":"2025082804273822000_17.6.e259981.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.01.033"},{"key":"2025082804273822000_17.6.e259981.10","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu296"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-259981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:27:47Z","timestamp":1756380467000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-259981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,19]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2024-259981"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-259981","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}