Primary surgical repair of coarctation of the aorta in adolescents and adults: intermediate results and consequences of hypertension†

Abstract

Surgical intervention is warranted irrespective of age and helps correct and control hypertension better; however, significant numbers of patients still require antihypertensive medication and regular monitoring. Intervention using an interposition tube graft may affect the prevalence of hypertension.

Double Aortic Arch with Coarctation of Aorta in an Adolescent: Unraveling the Vascular Ring

“…2,3,5 In addition, the presence of COA itself can induce vascular symptoms, manifested as hypertension. 6,7 However, asymptomatic COA is also well reported in literature. 7 The association of multiple intracardiac and vascular pathologies with COA is now well recognized.…”

“…6,7 However, asymptomatic COA is also well reported in literature. 7 The association of multiple intracardiac and vascular pathologies with COA is now well recognized. 1,7 The occasional occurrence of DAA is also known.…”

“…2,5,8 Even after correction, long-term sequela may be seen, as we have shown in a prior report. 7 Such patients require lifelong surveillance for hypertension, and, in our patients, also to assess for progression of disease of the aorta in the abdomen (►Fig. 1A).…”

“…7 The association of multiple intracardiac and vascular pathologies with COA is now well recognized. 1,7 The occasional occurrence of DAA is also known. Collectively these are known as the "COA variants."…”

Society for Cardiovascular Magnetic Resonance/European Society of Cardiovascular Imaging/American Society of Echocardiography/Society for Pediatric Radiology/North American Society for Cardiovascular Imaging Guidelines for the Use of Cardiac Magnetic Resonance in Pediatric Congenital and Acquired Heart Disease: Endorsed by The American Heart Association

“…Long-standing hypertension leads to LV hypertrophy and ventricular dysfunction, as well as increased incidence of coronary heart disease and multiple other sequelae eventually leading to premature morbidity and mortality. 253 , 254 …”