Stenting of aortic coarctation and exercise‐induced hypertension in the young

De, Enrico; Spadoni, Isabella; Crepaz, R; Saitta, Michele N.; Trocchio, Gianluca; Calevo, Maria Grazia; Pongiglione, Giacomo

doi:10.1002/ccd.22249

Cited by 14 publications

(10 citation statements)

References 31 publications

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“…This was further reflected in a significant reduction in cuff systolic blood pressure and gradient between admission and discharge and maintained through follow‐up. Systemic hypertension after CoA repair (either surgical or stent implantation) is well known and occurred in this cohort as well. Five children (29%) required medication for blood pressure control at discharge and of those, 2 required medication for long‐term control.…”

Section: Discussionmentioning

confidence: 69%

Experience With the Atrium Advanta Covered Stent for Aortic Obstruction

Ohno

Chaturvedi

Lee

et al. 2013

J Interven Cardiology

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Section: Discussionmentioning

confidence: 69%

Experience With the Atrium Advanta Covered Stent for Aortic Obstruction

Ohno

Chaturvedi

Lee

et al. 2013

J Interven Cardiology

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“…23,24 We similarly observed significant decreases in diastolic blood pressure and mean arterial pressure proximal and distal to the coarctation in response to isoproterenol. Although exercise typically results in an exaggerated increase in systolic blood pressure in patients with coarctation and even some patients after adequate coarctation repair, 25,26 in our cohort, a small bolus of Figure 4. Correlations between gradients at catheterisation and gradients by blood pressure (BP) cuff.…”

Section: Discussionmentioning

confidence: 82%

Unmasking the borderline coarctation: the utility of isoproterenol in the paediatric cardiac catheterisation laboratory

et al. 2018

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“…Most of them, despite the effective intervention, suffered from arterial hypertension. Data from the literature [33][34][35][36][37][38][39][40] demonstrate a decrease of arterial pressure after percutaneous intervention, although still higher values than in the healthy population. In our observation, patients with aortic recoarctation had more often concomitant hypoplastic aortic arch.…”

Section: Discussionmentioning

confidence: 94%

Long-term observation of adults after successful repair of aortic coarctation

Róg¹,

Okólska²,

Weryński³

et al. 2019

pwki

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Introduction: Despite successful repair of aortic coarctation, cardiovascular complications occur. Aim: To analyse type and frequency of late complications and their impact on exercise capacity in adults after aortic coarctation repair. Material and methods: Fifty-eight adults after aortic coarctation repair, 36 male, median age 27.46 ±10.57, were compared to 30 healthy volunteers. Physical examination, transthoracic echocardiography, carotid intima-media thickness measurement, cardiopulmonary exercise test and 24-hour ambulatory blood pressure monitoring were performed. Results: The main complications were: arterial hypertension 48.3%, myocardial hypertrophy in echocardiography 29.34%, recoarctation 25.86%, aortic dilation 13.79% and coronary artery disease 6.89%. Exercise tolerance was reduced in the cardiopulmonary exercise test. The VO 2 /kg peak was lower, 29.01 ±8.79 vs. 49.16 ±7.38 ml/kg/min, p < 0.001, VE/VCO 2 peak higher 28.18 ±4.69 vs. 26.78 ±3.13, p = 0.017. The peak heart rate was reduced, 157.28 ±22.22 vs. 177.93 ±23.08 bpm, p < 0.001, peak systolic blood pressure was higher, 174.79 ±17.62 vs. 153.33 ±4.79 mm Hg, p < 0.001. Systolic blood pressure in 24-hour ambulatory monitoring correlated with left ventricle mass index, r = 0.29, p = 0.025, wall thickness, r = 0.31, p = 0.039. Age at operation was related to left ventricle wall thickness, r = 0.27, p = 0.041, and carotid intima-media thickness, r = 0.26, p = 0.046. There was no association of any cardio-pulmonary parameters with time from surgery, type of operation or echocardiography results. Conclusions: Adults after aortic coarctation repair suffer from arterial hypertension, recurrent aortic stenosis, aortic aneurysms, and coronary artery disease. Reduced exercise capacity in cardio-pulmonary exercise test is related to hypertensive reaction and chronotropic incompetence.

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Stenting of aortic coarctation and exercise‐induced hypertension in the young

Abstract: EIH can be found in a high number of young patients successfully treated for aortic coarctation but at intermediate follow-up stent implantation does not seem to enhance the risk of EIH.

Cited by 14 publications

References 31 publications

Experience With the Atrium Advanta Covered Stent for Aortic Obstruction

Experience With the Atrium Advanta Covered Stent for Aortic Obstruction

Unmasking the borderline coarctation: the utility of isoproterenol in the paediatric cardiac catheterisation laboratory

Long-term observation of adults after successful repair of aortic coarctation

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