Document Detail


Late complications of coarctation of the aorta.
MedLine Citation:
PMID:  19039755     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The mechanism of the late complications after coarctation repair remains unclear, and this common congenital heart disease affects patients and perplexes physicians in terms of prevention and treatment. METHODS: From 2004 to 2008, 13 patients (1 adolescent and 12 adults) with repaired or unrepaired coarctation of the aorta were operated on in this department due to valve disorder or aortic aneurysm. RESULTS: The late complications were mitral and tricuspid regurgitation with congestive heart failure in 1, aortic valve disorder in 4, ascending aortic aneurysm in 3, saccular arch aneurysm in 1, and pseudoaneurysm in ascending, at isthmus, and descending aorta (Ortner's syndrome) in 1 patient each, respectively. Recoarctation occurred in 3 (25%) patients, 23, 29, and 36 years after coarctation repair. One patient had persistent hypertension. CONCLUSIONS: Patients with repaired coarctation of the aorta may eventually develop late complications including valve disorders, aortic aneurysm or pseudoaneurysm, in adolescence or adulthood, especially in the patient population associated with bicuspid aortic valve or complex congenital heart defects. Patients with unrepaired coarctation of the aorta, who can live to adulthood easily, may have a lack of associated anomalies. A regular follow-up is recommended for the patients with coarctation of the aorta in order to have a full-scope observation and prompt treatment when necessary.
Authors:
Shi-Min Yuan; Ehud Raanani
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiology journal     Volume:  15     ISSN:  1897-5593     ISO Abbreviation:  -     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-28     Completed Date:  2009-04-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392712     Medline TA:  Cardiol J     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  517-24     Citation Subset:  IM    
Affiliation:
Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel. shi_min_yuan@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography
Aortic Aneurysm, Thoracic / epidemiology,  etiology,  radiography
Aortic Coarctation / radiography,  surgery*
Aortic Valve Stenosis / epidemiology,  etiology,  radiography
Cardiac Surgical Procedures / adverse effects*
Child
Child, Preschool
Female
Follow-Up Studies
Heart Failure / epidemiology,  etiology,  radiography
Humans
Incidence
Infant
Infant, Newborn
Israel / epidemiology
Male
Middle Aged
Mitral Valve Insufficiency / epidemiology,  etiology,  radiography
Postoperative Complications / epidemiology,  etiology*,  radiography
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Young Adult
Comments/Corrections
Comment In:
Cardiol J. 2008;15(6):491-2   [PMID:  19039751 ]

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