Document Detail


Aortic coarctation: an overview.
MedLine Citation:
PMID:  17299295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In severe aortic coarctation in the neonatal period, surgical repair is required soon after clinical stabilization. Elective repair of isolated aortic coarctation is nowadays indicated at 3-6 months of life or at the time of diagnosis. At present, no single operation appears to have a clear superiority. However, during the first months of life, an extended end-to-end anastomosis is considered the best option by most authors, even though weight at operation and anatomy of the aortic arch are also significant determinants of late recoarctation. In cases of aortic arch hypoplasia, which occurs in up to 70% of neonatal and infant coarctations, especially when associated anomalies are present, surgery seems the treatment of choice. After 3 months of age and in the adult population, balloon angioplasty and stent placement are considered a suitable option. Recently, we adopted a median sternotomy approach without the use of extracorporeal circulation for the treatment of aortic coarctation with a hypoplastic aortic arch. We treated 11 patients with satisfactory results at an average follow-up of 40 months.
Authors:
Pietro Angelo Abbruzzese; Enrico Aidala
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  8     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-14     Completed Date:  2007-04-06     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  123-8     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Regina Margherita Children's Hospital, Turin, Italy. pa.abbruzzese@virgilio.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Anastomosis, Surgical
Angioplasty, Balloon
Aortic Coarctation / epidemiology,  physiopathology,  surgery*,  therapy
Blood Vessel Prosthesis Implantation
Child
Humans
Incidence
Patient Selection*
Subclavian Artery / transplantation
Surgical Flaps
Time Factors
Vascular Surgical Procedures / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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