Coarctation of the aorta in adults: surgical results and long-term follow-up

Bouchart, F; Dubar, Arnaud; Tabley, A; Litzler, Pierre Yves; Haas-Hubscher, Catherine; Redonnet, M; Bessou, Jean Paul; Soyer, R

doi:10.1016/s0003-4975(00)01999-8

Cited by 110 publications

(72 citation statements)

References 24 publications

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“…[7][8][9] However, relapse after coarctation repair and complications related to surgical procedures are not uncommon, with aneurysm formation, stenosis, or occlusion of bypass grafts. 10 -12 Recurrent coarctation used to be the only late complication amenable to interventional treatment in lieu of surgical graft interposition or end-to-end anastomosis [13][14][15] ; postsurgical aneurysm may quality next for interventional repair.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Repair of Aneurysm After Previous Coarctation Surgery

et al. 2003

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Background-Formation of aortic aneurysm late after surgical repair of coarctation carries a significant risk of rupture and lethal outcome, and repeat surgery is associated with a 14% in-hospital mortality rate and morbidity from paraplegia, injury to the central nervous system, or from bleeding. The potential of nonsurgical endovascular repair by the use of stent-grafts in lieu of repeat surgery for postcoarctation aneurysm is unknown. Methods and Results-The concept of postsurgical endovascular stent-graft placement was evaluated with respect to feasibility and safety in 6 consecutive patients with late aneurysm formation after coarctation repair. All patients had aneurysm formation late after patch aortoplasty; placement of an elephant trunk during surgical repair of secondary type I dissection preceded formation of a local aneurysm in 2 cases. Patient age was 49Ϯ12 years, ranging from 31 to 68 years. Transluminal placement of customized stent-grafts was successful, with no 30-day or 1-year intervention-related mortality or morbidity. Follow-up survey of 11 to 47 months revealed optimal reconstruction of the thoracic aorta; 1 patient died 11 months after endovascular repair from cancer. Conclusions-Nonsurgical

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Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Repair of Aneurysm After Previous Coarctation Surgery

et al. 2003

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“…4 Thus, long-term follow-up for surveillance of recoarctation, aortic aneurysm formation, aortic dissection, bicuspid aortic valve, endocarditis, premature coronary atherosclerosis, cerebrovascular accidents and hypertension is required, and also warrants high-quality imaging studies such as echocardiography, CT and MRI in the follow-up 29 in addition to rest and exercise blood pressures. 4,30,31 …”

Section: Discussionmentioning

confidence: 99%

Coarctation of the aorta associated with Dandy–Walker variant

Zhou

Shenoy

Taub

2013

Journal of Cardiovascular Disease Research

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a b s t r a c tThis article reports a rare case of coarctation of the aorta associated with DandyeWalker variant in a 17-year-old girl. Differential diagnoses of coarctation of the aorta and DandyeWalker variant are extensively discussed. In addition, standard surgical treatment of coarctation as well as new approaches such as endovascular stenting are described in detail to provide therapeutic insights into her management. Although surgical or endovascular repair of coarctation results in significant improvement of systemic hypertension and is associated with better survival, cardiovascular complications are still very common. Thus, long-term follow-up after repair is required, and high-quality imaging studies such as echocardiography, CT and MRI are warranted.

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“…Bouchart et al [7] refer the end-to-end anastomosis for correction of 86% of the aortic coarctation cases with mean age of 28 years, reminding the importance of extensive mobilization of the entire aorta (arch, base vessels and descending aorta). Aris et al [18], in experience with patients with aortic coarctation aged over 50 years, report the usage of Dacron tubes, performing bypass of the aortic coarctation.…”

Section: Discussionmentioning

confidence: 99%

“…However, in approximately 25% of the patients, it is required the use of one or more anti-hypertensive drugs, for the control of the SH. Bouchart et al [7] observed that, in 35 operated patients; 23 became normotensive without medication, 6 with monotherapy and 6 with anti-hypertensive medication.…”

Section: Discussionmentioning

confidence: 99%

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Resultados do tratamento cirúrgico da coarctação de aorta em adultos

Jatene¹,

Abuchaim²,

Oliveira³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: The aim of this study is to describe our experience in aortic coarctation surgery in adult patients by assessing the immediate and mid-term outcomes.Methods: From January 1997 to March 2000, 50 consecutive adult patients underwent surgery for correction of aortic coarctation, through left lateral thoracotomy. Of these, forty two (84%) patients presented high blood pressure, with mean systolic arterial pressure of 170.56 mmHg (125-220 mmHg). The mean of pressure gradient in the coarctation area was 51.4 mmHg (18-123 mmHg). Other associated surgical cardiovascular diseases were not treated in the same operative act, except in two cases of patent ductus arteriosus (PDA). Three different techniques were used: aortic coarctation resection with end-to-end anastomosis was performed in 20 (40%) patients, coarctation enlargement with bovine pericardial patch was performed in 22 (44%) patients and synthetic tube interposition was performed in eight (16%) patients.Results: Operative morbidity was low; there was one case of bleeding who required reoperation. The most common immediate postoperative event was high blood pressure (98%), but it was easily controlled by intravenous drugs. There was no hospital death. Mean residual pressure gradient was 18.7 (8-33 mmHg). Patients were discharged in 9.5 days (5-30). Postoperative follow-up mean was 46.8 months (1-145 months) in 45 (91.8%) patients. Forty one (91.1%) of these followed-up patients had normal blood pressure, whereas 75.6% of them without drugs intake. 93.3% of these followed-up patients were asymptomatic. Four of them required further surgical operation, one needed a pacemaker implant, other two patients needed a cardiac valve replacement and one had endocarditis. There was one related death due to sepsis secondary to endocarditis.

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Coarctation of the aorta in adults: surgical results and long-term follow-up

Cited by 110 publications

References 24 publications

Percutaneous Endovascular Repair of Aneurysm After Previous Coarctation Surgery

Percutaneous Endovascular Repair of Aneurysm After Previous Coarctation Surgery

Coarctation of the aorta associated with Dandy–Walker variant

Resultados do tratamento cirúrgico da coarctação de aorta em adultos

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