Document Detail

Coarctation of the abdominal aorta.
MedLine Citation:
PMID:  3398174     Owner:  NLM     Status:  MEDLINE    
Coarctation of the abdominal aorta remains a surgically treatable cause of hypertension in children and young adults. Average age of the patients is 21 years at the time of diagnosis and a second peak in the fourth to fifth decade. If left untreated, most patients die as a result of complications from untreated hypertension by the age of 35 years. Aortography remains the diagnostic test of choice with associated visceral and renal artery stenoses occurring in 26% of cases. Of the 146 cases reported, 109 had surgical treatment with an operative mortality rate of 6.9%. Of those patients having surgery 96% were normotensive or were easily controlled postoperatively with antihypertensive medications. Because claudication is a minor problem in most cases, surgical correction of the hypertension by hepatorenal or splenic-renal bypasses may be the preferred initial surgical treatment in patients without significant visceral artery involvement or severe symptomatic lower extremity ischemia.
J R Cohen; E Birnbaum
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  8     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-09-08     Completed Date:  1988-09-08     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  160-4     Citation Subset:  IM    
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
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MeSH Terms
Anastomosis, Surgical / methods
Aortic Coarctation / complications*,  radiography,  surgery
Hepatic Artery / surgery
Hypertension, Renovascular / etiology
Renal Artery / surgery
Renal Artery Obstruction / etiology*,  surgery
Splenic Artery / surgery

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

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