scholarly journals Therapeutic Alternatives in the Management of Late Complications of Surgery for Isolated Coarctation of the Aorta

Aorta ◽  
2018 ◽  
Vol 06 (02) ◽  
pp. 059-064
Author(s):  
Imad Tabry ◽  
Michael Rush
Keyword(s):  
Coarctation Of The Aorta ◽  
Late Recurrence ◽  
Late Complications ◽  
Coarctation Of Aorta ◽  
Technical Success ◽  
Complex Anatomy ◽  
Complications Of Surgery ◽  
Single Intervention ◽  
Therapeutic Alternatives

AbstractDespite initial technical success in the treatment of coarctation of aorta, late recurrence and/or development of aneurysms and pseudoaneurysms frequently prompt reintervention. The authors hereby present such a patient whose management required more than a single intervention to treat his complex anatomy, and they discuss the therapeutic alternatives under similar circumstances.

scholarly journals Late complications of surgery for coarctation of the aorta.

Thorax ◽  
1975 ◽  
Vol 30 (1) ◽  
pp. 31-39 ◽  
Author(s):  
J K Ross ◽  
J L Monro ◽  
C G Sbokos
Keyword(s):  
Coarctation Of The Aorta ◽  
Late Complications ◽  
Complications Of Surgery

Late complications at repair site of operated coarctation of aorta

1979 ◽  
Vol 133 (6) ◽  
pp. 1071-1075 ◽  
Author(s):  
RA Clark ◽  
DP Colley ◽  
E Siedlecki
Keyword(s):  
Late Complications ◽  
Coarctation Of Aorta ◽  
Repair Site

scholarly journals Genetic testing for coarctation of aorta

2018 ◽  
Vol 2 (s1) ◽  
pp. 64-66
Author(s):  
Yeltay Rakhmanov ◽  
Paolo Enrico Maltese ◽  
Alessandra Zulian ◽  
Tommaso Beccari ◽  
Munis Dundar ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Neonatal Period ◽  
Heart Defects ◽  
Coarctation Of The Aorta ◽  
Coarctation Of Aorta ◽  
Descending Thoracic Aorta ◽  
Routine Examination ◽  
Live Births ◽  
Gene Test ◽  
Medial Thickening

Abstract Coarctation of the aorta (CoA) is an inherited narrowing of the proximal descending thoracic aorta. Histological features include localized medial thickening and infolding with superimposed neointimal tissue. CoA is diagnosed by detection of a murmur or hypertension during routine examination. Typical clinical features are delayed or absent femoral pulses and difference in blood pressure between the arm and legs. These symptoms may appear in the first weeks of life or after the neonatal period. CoA accounts for 4-6% of all congenital heart defects and has a reported prevalence of about 4 per 10,000 live births. It is more common in males than females (59% vs 41%). This Utility Gene Test was developed on the basis of an analysis of the literature and existing diagnostic protocols. It is useful for confirming diagnosis, as well as for differential diagnosis, couple risk assessment and access to clinical trials.

scholarly journals Late Coarctation Presenters Suffer Chronic Hypertension Resisting to Medicine Treatment

2018 ◽  
Vol 1 (4) ◽  
pp. 20-32
Author(s):  
Andreas Petropoulos ◽  
Maria Moschovi ◽  
Aynur Khudiyeva ◽  
Fahraddin Garayev ◽  
İbrahim İsayev
Keyword(s):  
Surgical Treatment ◽  
Late Onset ◽  
Coarctation Of The Aorta ◽  
Short Review ◽  
Late Complications ◽  
Chronic Hypertension ◽  
Medical Needs ◽  
Left Heart Syndrome ◽  
Symptoms And Signs

Coarctation of the aorta (CoA) is a common Congenital Heart Disease (CHD) presenting with many symptoms and signs, in any age group. From its dramatic appearance as a part of Hypo plastic Left Heart Syndrome (HLHS), to early Congestive Heart Failure(CHF)in neonatal and early infantile age, to undetected Hypertension (HTN) in early or even late adulthood. The aim of this short review is to present this unique CHD, underline the presentation of late detected CoA, presenting with HTN and its impact in treating resistant HTN even after successful surgical treatment. Finally, the late onset HTN, following successful surgical treatment and its medicine management will be addressed. This difficult to control on mono or dual pharmacotherapy and the late complications of persistent uncontrolled HTN is the basic reason that these patients are a long-life follow-up population with important medical needs and increasing morbidity and mortality.

scholarly journals Surgical correction of coarctation of the aorta featuring an incomplete circle of Willis

2020 ◽  
Vol 30 (5) ◽  
pp. 794-795
Author(s):  
Aiko Sonobe ◽  
Hideyuki Kato ◽  
Bryan J Mathis ◽  
Yuji Hiramatsu
Keyword(s):  
Subclavian Artery ◽  
Coarctation Of The Aorta ◽  
Circle Of Willis ◽  
Surgical Correction ◽  
Surgical Strategy ◽  
Aberrant Right Subclavian Artery ◽  
Coarctation Of Aorta ◽  
Rare Anomaly ◽  
Cerebral Malperfusion

Abstract Although devastating complications during simple coarctation of aorta repair now occur less frequently, some unique cases still require extra caution. Here, we report a case of coarctation of the aorta with a rare anomaly in the circle of Willis and an aberrant right subclavian artery, which required a thorough surgical strategy that prevented cerebral malperfusion.

Parachute tricuspid valve, supravalvar tricuspid ring, and coarctation of aorta in congenitally corrected transposition

1997 ◽  
Vol 7 (3) ◽  
pp. 337-339 ◽  
Author(s):  
François Godart ◽  
Dominique Piot ◽  
Christian Rey
Keyword(s):  
Tricuspid Valve ◽  
Unusual Case ◽  
Coarctation Of The Aorta ◽  
Pulmonary Trunk ◽  
Surgical Correction ◽  
Coarctation Of Aorta ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

AbstractWe describe an unusual case of congenitally corrected transposition in which left-sided obstructions included a supravalvar tricuspid ring, a parachute deformity of the valve itself, and coarctation of the aorta. Surgical correction was performed in 3 stages. Initially we repaired the coarctation and banded the pulmonary trunk. Then we removed the band and, finally, attempted unsuccessfully to replace the tricuspid valve. When coarctation of the aorta occurs in congenitally corrected transposition, it is always wise to search carefully for abnormalities of the tricuspid valve.

scholarly journals Case Report: Acute Renal Infarction in a Child With Coarctation of Aorta

2021 ◽  
Vol 9 ◽  
Author(s):  
Qing-Yun Zhang ◽  
Min-Hua Tseng ◽  
Jhao-Jhuang Ding ◽  
Jing-Long Huang
Keyword(s):  
Aortic Aneurysm ◽  
Low Molecular Weight Heparin ◽  
Rare Complication ◽  
Coarctation Of The Aorta ◽  
Surgical Excision ◽  
Coarctation Of Aorta ◽  
Low Molecular Weight ◽  
Renal Infarction ◽  
Acute Glomerulonephritis ◽  
Acute Renal Infarction

Renal arterial infarction can present with hematuria, proteinuria, and hypertension, features often linked to glomerular disease. An aortic aneurysm is an extraordinarily rare complication of coarctation of the aorta. Acute renal infarction caused by emboli from the aortic aneurysm is a possible complication that has not been reported. We herein report a 10-year-old boy who presented with hematuria, proteinuria, hypertension, and skin rashes on both lower extremities mimicking acute glomerulonephritis but actually resulting from acute renal infarction caused by a coarcted aneurysm-associated thrombus. He was successfully treated with surgical excision of the coarcted aorta and aneurysm followed by subcutaneous low molecular weight heparin without recurrence.

scholarly journals Endovascular Treatment of Distal Aortic Arch Aneurysm Associated with Coarctation of Aorta in a Jehovah's Witness

2017 ◽  
Vol 44 (6) ◽  
pp. 399-401 ◽  
Author(s):  
Luigi Di Tommaso ◽  
Vito A. Mannacio ◽  
Ettorino Di Tommaso ◽  
Giovanni B. Pinna ◽  
Immacolata Fontana ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aortic Rupture ◽  
Coarctation Of The Aorta ◽  
Coarctation Of Aorta ◽  
Safe Alternative ◽  
Jehovah’S Witness ◽  
Jehovah's Witness ◽  
Substantial Risk ◽  
Distal Aortic Arch Aneurysm ◽  
Arch Aneurysm

Late aneurysm formation in the proximal aorta or distal aortic arch is a recognized sequela of untreated stenosis of the aortic isthmus and is associated with substantial risk of aortic rupture. We describe the case of a 44-year-old man with untreated coarctation of the aorta who presented with a prestenotic dissecting thoracic aortic aneurysm. He declined surgery because he was a Jehovah's Witness. Instead, we performed emergency endovascular aortic repair in which 2 stent-grafts were placed in the descending aorta. Our experience suggests that this procedure is a useful and safe alternative to open surgery in patients who have aneurysms associated with coarctation of the aorta.

scholarly journals Coarctation of Aorta as Shown in CT Aortogram

2014 ◽  
Vol 15 (1) ◽  
pp. 51-54
Author(s):  
Md. Faruque ◽  
M A Rashid ◽  
Md. Jabed Iqbal ◽  
F Rahman ◽  
Md. Mahmudur Rahman Siddique
Keyword(s):  
Normal Development ◽  
Recovery Period ◽  
Balloon Dilation ◽  
Coarctation Of The Aorta ◽  
Coarctation Of Aorta ◽  
Plastic Tube ◽  
Congenital Cardiac Defects ◽  
Live Births ◽  
Small Device ◽  
Catch Up

Coarctation of the aorta is a congenital heart disease where there is constriction of Aorta. Coarctation accounts for 15-20 % of congenital cardiac defects and is more common in males than in females. It occurs in 1 of 10,000 live births. Coarctation of the aorta is a condition for which surgical outcomes are good and children will lead normal and healthy lives without restriction of their activity. They will typically catch up in growth and have normal development following the recovery period of the surgery. Coarctation of the aorta is typically treated by surgery to remove the narrowed segment of the aorta. Typically the surgery is best done when the child is between 18 and 24 months of age. Sometimes coarctation can be corrected by a balloon angioplasty procedure done during cardiac catheterization. A plastic tube will be inserted in the narrowed segment and a balloon in the tube will be inflated to stretch the narrowed segment. Sometimes a mess tube is then inserted (called a stent) to hold the vessel open. Some infants will be very sick, requiring care in the intensive care unit (ICU) prior to the procedure and could possibly even need emergency repair of the coarctation. Others, exhibiting few symptoms, will have the repair scheduled on a less urgent basis. A small device, called a stent, may also be placed in the narrowed area after the balloon dilation to keep the aorta open. Overnight observation in the hospital is generally required.DOI: http://dx.doi.org/10.3329/jom.v15i1.19872 J Medicine 2014; 15: 51-54

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