coarctation of the aorta
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2022 ◽  
pp. 1-3
Author(s):  
Otohime Mori ◽  
Keiichi Fujiwara ◽  
Hisanori Sakazaki

Abstract A 4-day-old girl with Posterior fossa anomalies, Haemangiomas of the head and neck, Arterial, Cardiovascular, and Eye anomalies and ventral developmental defect syndrome comprising a facial haemangioma, aortic coarctation at the aortic arch, torturous aortic aneurysm distal to coarctation, and ductus arteriosus originating proximal to the coarctation is presented. The aortic arch was successfully reconstructed without cardiopulmonary bypass, and she is currently doing well after 4 years and 8 months.


2022 ◽  
Vol 20 (4) ◽  
pp. 205-210
Author(s):  
M. A. Manukyan ◽  
A. Yu. Falkovskaya ◽  
V. F. Mordovin ◽  
V. V. Saushkin ◽  
T. R. Ryabova

The article presents a case of diagnosis and treatment of coarctation of the aorta in a 20-year-old woman, who previously received follow-up care with the diagnosis of hypertension. This case demonstrates the importance of qualitative examination of young patients with hypertension, including tonometry in the lower extremities and transthoracic echocardiography. The peculiarities of this clinical case encompass a rarer, isolated type of coarctation of the aorta and high physical fitness of the patient, which reduced doctors’ alertness regarding this anomaly. After surgical correction, a significant decrease in the blood pressure was achieved; however, such patients need longterm follow-up in order to detect complications, such as aneurysms, restenosis, or residual stenosis. 


2022 ◽  
pp. 1-7
Author(s):  
Thomas Couck ◽  
Roselien Buys ◽  
Béatrice Santens ◽  
Pieter De Meester ◽  
Kaatje Goetschalckx ◽  
...  

Author(s):  
Bogdan V. Cherpak ◽  
Igor O. Ditkivskyy ◽  
Nataliia S. Yashchuk ◽  
Yuliia V. Yermolovych ◽  
Oleksandr S. Golovenko ◽  
...  

The aim. To analyze the 10-year experience in aortic coarctation endovascular stenting in patients of different age groups. Materials and methods. Examination and endovascular treatment of 194 patients aged 3 days to 60 years with coarctation of the aorta (CoA) with different anatomical and morphological variants was performed. According to the age criterion, the examined patients were divided into 4 study groups. The first group consisted of 84 patients (43.3%) over 25 years of age, group 2 included 33 patients (17.0%) aged 19 to 25 years, group 3 included 71 patients (36.6%) aged 5 to 18 years, and group 4 included 6 patients (3.1%) under 1 year of age. Results and discussion. We presented the clinical features of different anatomical and morphological variants of CoA. Endovascular treatment of CoA with stenting is considered the best method for adolescents and adults, due to the lower risk of aneurysm formation compared to balloon angioplasty. We were able to successfully reduce the invasive pressure gradient in patients of different ages and to establish the dependence of complication rate on the stent type used. The most common complications were aneurysm formation (2.1%) and stent migration (2.1%). Complications occurred more often in cases of uncovered stents compared to stent grafts (5.3% and 2.1%, respectively, p <0.05). No cases of hospital mortality were recorded in patients older than 5 years. Seven endovascular procedures were performed in 5 patients aged 3 days to 11 months (mean age 3.5 ± 1.6 months) with combined heart defects. Complications were documented in 1 child (20.0%). Endovascular intervention in pregnant women is indicated in refractory hypertension. We performed endovascular CoA stenting in 4 pregnant women at 15–23 weeks of gestation (average, 19.8 ± 3.1 weeks), and in 6 women with well-controlled hypertension stenting was performed within 48 hours to 5 years after delivery. In all the presented cases, successful revascularization was achieved. During follow-up (from 2 months to 10 years), all 10 women are alive, did not develop recoarctation or complications. Conclusions. The results of the analysis of CoA endovascular treatment showed that the chosen method and technique of intervention is appropriate and safe for patients of all ages, including pregnant women. Based on the results obtained, we have developed an algorithm for the management of patients who, according to clinical examination and echocardiography, were diagnosed with CoA during pregnancy.


Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2398
Author(s):  
Roxana Elena Bohîlțea ◽  
Adrian Dumitru ◽  
Radu Vlădăreanu ◽  
Liana Pleș ◽  
Tiberiu Augustin Georgescu ◽  
...  

Cardiac and cardiovascular malformations are of real interest in terms of definition, epidemiology, and means of early diagnosis by imaging. Although ultrasound examination reaches exceptional performance nowadays, unusual pathologies are still exposed to the risk of either incorrect acquired image or misinterpretation by the specialist in a routine scan. Herein, we present a case of a 20-week-old fetus (from an apparently low-risk pregnancy) with complex cardiac and vascular abnormalities, including an arteriovenous malformation along with ventricular septal defect, ductal coarctation of the aorta, aneurysm of a brachiocephalic vein, and dilation of the entire neck and upper mediastinum venous system, and the limitations that were encountered in the process of diagnosis and management of the case.


2021 ◽  
Vol 55 (1) ◽  
Author(s):  
Lajja Desai ◽  
Heather Stefek ◽  
Haben Berhane ◽  
Joshua Robinson ◽  
Cynthia Rigsby ◽  
...  

Author(s):  
Stavros Polyviou ◽  
Marietta Charakida ◽  
Owen I. Miller ◽  
Thomas Witter RSCN ◽  
Trisha V. Vigneswaran ◽  
...  

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 362-362
Author(s):  
N. Bryce Robinson ◽  
Woodrow J. Farrington ◽  
Peter Maresca ◽  
Irbaz Hameed ◽  
Erin M. Iannacone ◽  
...  

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