Incidence and risk of reintervention after coarctation repair

Krön, Irving L.; Flanagan, Terry L.; Rheuban, Karen S.; Carpenter, Martha A.; Gutgesell, Howard P.; Blackbourne, Lorne H.; Nolan, Stanton P.

doi:10.1016/0003-4975(90)90867-6

Cited by 57 publications

(34 citation statements)

References 31 publications

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“…The incidence of aneurysm formation is increasing with time reaching 17% after subclavian flap angioplasty, 5-28% after Dacron-patch aortoplasty, 6% after tube graft repair and 3% after end-to-end anastomosis [1,12].…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation

Marcheix

Lamarche

Perrault

et al. 2007

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 99%

Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation

Marcheix

Lamarche

Perrault

et al. 2007

European Journal of Cardio-Thoracic Surgery

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“…However, the appearance of reports on late aneurysm formation following patch aortoplasty limited its application. [16] Fortunately, none of our patients who underwent patch aortoplasty developed an aneurysm.…”

Section: Discussionmentioning

confidence: 78%

Long-term outcomes after surgical repair of the coarctation of aorta beyond infancy period

Paç¹,

Kocabeyoğlu²,

Özen³

et al. 2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada bebeklik döneminden sonra aort koarktasyonu cerrahi olarak tamir edilen hastalarda uzun dönem sonuçlar değerlendirildi.Ça lış m a pla nı: Ocak 1999 -Ağustos 2016 tarihleri arasında aort koarktasyonunun cerrahi tamiri yapılan ve poliklinik takibinde olan toplam 49 hasta (28 erkek, 21 kadın; ort. yaş 22.9±11.3 yıl; dağılım 3-56 yıl) bu çalışmaya alındı. Tamir işlemleri yama anjiyoplasti (%51), greft interpozisyonu (%40.8), basit ve genişletilmiş uç uça anastomoz (%6.12) ve subklavyen plastidir (%2). Bul gu lar:Ortalama takip süresi 78.1±33.5 ay (dağılım 2-144 ay) idi. Hastaların 22'sinde (%44.9) rekoarktasyon, 19'unda (%38.7) hipertansiyon, üçünde (%6.1) çıkan aort anevrizması, beşinde (%10.2) aort kapak darlığı, beşinde (%10.2) aort yetmezliği ve ikisinde (%4.08) koroner arter hastalığı saptandı. İlk olarak yama anjiyoplasti yapılan hastalar ve interpozisyon greftleme yapılan hastalar arasında rekoarktasyon oranları açısından anlamlı bir fark yoktu (p= 0.787). İlk ameliyat sırasında cerrahi rekoarktasyon olan ve olmayan hastalar arasında ortalama yaş açısından istatistiksel olarak anlamlı bir fark yoktu (p= 0.696). Ancak ameliyat sonrası hipertansiyon gelişen hastaların, gelişmeyenlere kıyasla, ortalama yaşı anlamlı düzeyde yüksekti (p= 0.006). Hiçbir hastada hastane mortalitesi ve serebrovasküler olay izlenmedi.So nuç: Aort koarktasyonunun başarılı tamirinin ardından dahi, başka kalp hastalıkları gelişebilir. Bu nedenle, bu tür kalp hastalıklarının erken tanı ve tedavisi önem arz eder.Anah tar söz cük ler: Aort anevrizması; aort kapak hastalığı; aort koarktasyonu; uzun dönem. ABSTRACTBackground: This study aims to evaluate the long-term results of the patients in whom coarctation of the aorta was surgically repaired beyond the infancy period.

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“…An increased risk for aneurysm formation at the site of repair has been reported after both synthetic patch aortoplasty and subclavianflap arterioplasty. Moreover, restenosis, aortic dissection and pseudoaneurysms has been reported after surgery or balloon angioplasty in up to 42% of patients [31][32][33]. Therefore, careful follow-up is recommended for patients who underwent repair of an aortic coarctation, independently of surgical technique used and timing of the repair [34].…”

Section: Postoperative Findingsmentioning

confidence: 95%

Congenital diseases of the thoracic aorta. Role of MRI and MRA

et al. 2005

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Aortic malformations may be associated with other congenital heart abnormalities or may present independently, as incidental findings in asymptomatic patients. For more than 30 years, conventional imaging techniques for detection and assessment of congenital anomalies of the aorta have been chest X-ray, echocardiography and angiography. In recent times, considerable interest in congenital aortic diseases has been shown, due to technical progresses of noninvasive imaging modalities. Among them, magnetic resonance imaging (MRI) almost certainly offers the greatest advantages, especially in young patients in which a radiation exposure must be avoided as much as possible. MRI provides an excellent visualization of vascular structures with a wide field of view, well suited for evaluation of the thoracic aorta malformations. With the implementation of magnetic resonance angiography (MRA) it is also possible to depict any relationship with supra-aortic or mediastinal vessels. Phase contrast technique allows identification of the hemodynamic significance of the aortic alteration. Some technical considerations, which include fast spin-echo, gradient-echo and, especially, MRA techniques with phase-contrast and contrast enhanced methods, are discussed and applied in the evaluation of congenital thoracic aorta diseases.

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Incidence and risk of reintervention after coarctation repair

Cited by 57 publications

References 31 publications

Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation

Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation

Long-term outcomes after surgical repair of the coarctation of aorta beyond infancy period

Congenital diseases of the thoracic aorta. Role of MRI and MRA

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