Results of Screening for Intracranial Aneurysms in Patients with Coarctation of the Aorta

Curtis, Stephanie; Bradley, Marcus; Wilde, Peter; Aw, Juan; Chakrabarti, Santabhanu; Hamilton, M.C.K.; Martin, Robin P.; Turner, Mark; Stuart, Graham

doi:10.3174/ajnr.a2915

Cited by 86 publications

(56 citation statements)

References 36 publications

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“…30 There is a theoretic potential risk of IA rupture with increasing cerebral perfusion pressure by occluding the aorta, albeit temporarily. 3 Surgeons should be aware of the presence of an IA to avoid large pressure variations. In addition, measures such as strict postoperative blood pressure control can also be taken with a known IA, to reduce the risk of rupture.…”

Section: Discussionmentioning

confidence: 99%

“…2 Previous studies have identified a link between intracranial aneurysms and aortic diseases such as coarctation of the aorta or a bicuspid aortic valve. [3][4][5][6] A few studies have reported an association between abdominal aortic aneurysms and thoracic aortic aneurysms and IAs, with a higher prevalence of IA in patients with aortic aneurysms. [6][7][8][9][10][11][12][13][14] However, contrary to other pathologies such as autosomal dominant polycystic kidney disease (ADPKD), which is associated with IA in 12.4% of cases, no systematic screening for IA is proposed for patients with AA.…”

mentioning

confidence: 99%

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Prevalence of Intracranial Aneurysms in Patients with Aortic Aneurysms

Rouchaud¹,

Brandt²,

Rydberg³

et al. 2016

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Previous studies have suggested an association between aortic aneurysms and intracranial aneurysms with a higher prevalence of intracranial aneurysms in patients with aortic aneurysms. The aims of the present study were to evaluate the incidence of intracranial aneurysms in a large cohort of patients with aortic aneurysms and to identify potential risk factors for intracranial aneurysms in this population.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prevalence of Intracranial Aneurysms in Patients with Aortic Aneurysms

Rouchaud¹,

Brandt²,

Rydberg³

et al. 2016

AJNR Am J Neuroradiol

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“…The upper extremity systolic BP is usually 20 mm Hg higher than the lower extremities in patients with significant CoA. In rare instances of CoA patients with concomitant anomalous subclavian artery origin distal to the site of CoA, systolic BP differences may not be detected between ipsilateral arm and legs [16].…”

Section: Clinical Presentation -Diagnosismentioning

confidence: 99%

Late Coarctation Presenters Suffer Chronic Hypertension Resisting to Medicine Treatment

Petropoulos

Moschovi

Khudiyeva³

et al. 2018

Journal of Clinic Sciences

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Coarctation of the aorta (CoA) is a common Congenital Heart Disease (CHD) presenting with many symptoms and signs, in any age group. From its dramatic appearance as a part of Hypo plastic Left Heart Syndrome (HLHS), to early Congestive Heart Failure(CHF)in neonatal and early infantile age, to undetected Hypertension (HTN) in early or even late adulthood. The aim of this short review is to present this unique CHD, underline the presentation of late detected CoA, presenting with HTN and its impact in treating resistant HTN even after successful surgical treatment. Finally, the late onset HTN, following successful surgical treatment and its medicine management will be addressed. This difficult to control on mono or dual pharmacotherapy and the late complications of persistent uncontrolled HTN is the basic reason that these patients are a long-life follow-up population with important medical needs and increasing morbidity and mortality. Abriviations

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“…378 Diagnosis is more common at an older age in the CoA population (median age of individuals with aneurysm versus without aneurysm, 37 versus 23 years). 379 Individuals with CoA and hypertension appear to have a 2-fold higher incidence of intracranial aneurysm, suggesting increased hypertension with age or perhaps a pathophysiological factor influencing aneurysm formation, although much more data are needed to assess correlation. 379 More recent studies suggest that in children treated early for CoA, there is no clear association of CoA and intracranial aneurysm, but they perhaps still support the possibility that hypertension may contribute to aneurysm development in adults with CoA.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

Lui¹,

Saïdi²,

Bhatt³

et al. 2017

Circulation

180

136

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ABSTRACT:Life expectancy and quality of life for those born with congenital heart disease (CHD) have greatly improved over the past 3 decades. While representing a great advance for these patients, who have been able to move from childhood to successful adult lives in increasing numbers, this development has resulted in an epidemiological shift and a generation of patients who are at risk of developing chronic multisystem disease in adulthood. Noncardiac complications significantly contribute to the morbidity and mortality of adults with CHD. Reduced survival has been documented in patients with CHD with renal dysfunction, restrictive lung disease, anemia, and cirrhosis. Furthermore, as this population ages, atherosclerotic cardiovascular disease and its risk factors are becoming increasingly prevalent. Disorders of psychosocial and cognitive development are key factors affecting the quality of life of these individuals. It is incumbent on physicians who care for patients with CHD to be mindful of the effects that disease of organs other than the heart may have on the well-being of adults with CHD. Further research is needed to understand how these noncardiac complications may affect the long-term outcome in these patients and what modifiable factors can be targeted for preventive intervention.

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Results of Screening for Intracranial Aneurysms in Patients with Coarctation of the Aorta

Cited by 86 publications

References 36 publications

Prevalence of Intracranial Aneurysms in Patients with Aortic Aneurysms

Prevalence of Intracranial Aneurysms in Patients with Aortic Aneurysms

Late Coarctation Presenters Suffer Chronic Hypertension Resisting to Medicine Treatment

Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

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