Device Closure of Patent Ductus Arteriosus in Marfan Patients: Safety and Effect on the Aortic Root Diameter

Zanjani, Keyhan Sayadpour; Wong, Abdul Rahim; Sadiq, Masood; Weber, Howard S.; Cutler, Nancy

doi:10.1111/j.1747-0803.2010.00448.x

Cited by 2 publications

(2 citation statements)

References 12 publications

(25 reference statements)

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“…in research for monitoring aortic root dimensions through time [51,52]. Niwa et al defined aortic dilation when this ratio was >1.5, found in 15% of their patients [11].…”

Section: Parametersmentioning

confidence: 99%

“…These arteries increase aortic flow and theoretically may contribute to the aortic dilation [11]. In a small cohort of Marfan patients, it was shown that closure of even small patent ductus arteriosus may negatively affect aortic dimensions in at least some Marfan patients [52]. Although there is no direct evidence for this recommendation, occlusion of residual collateral arteries seems to be prudent in these patients with aortic dilation.…”

Section: Aortopulmonary Shuntsmentioning

confidence: 99%

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Aortic dilatation and aortopathy in congenital heart diseases

Zanjani

Niwa

2013

Journal of Cardiology

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Longer survival after corrective surgery for congenital heart diseases has rendered late complications more important. One of these complications is aortic dilatation which may occur in patients with repaired or unrepaired disease and can progress to aneurysm, dissection, and rupture. This aortic dilatation in various congenital heart diseases does not simply mean anatomical dilatation of the aortic root, but it closely relates to the aortic pathophysiological abnormality, aortic regurgitation, and aortic and ventricular dysfunction; therefore, we can recognize this complex lesion as a new concept: "aortopathy". The pathophysiology of this disease is complex and only partially understood. In this review, we first discuss history, pathophysiology, and clinical features of aortic dilatation and aortopathy of congenital heart disease. Then we provide a review of the evaluation and management of this disease.

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“…in research for monitoring aortic root dimensions through time [51,52]. Niwa et al defined aortic dilation when this ratio was >1.5, found in 15% of their patients [11].…”

Section: Parametersmentioning

confidence: 99%

Section: Aortopulmonary Shuntsmentioning

confidence: 99%