A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.
The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
Making an incision in the STERNUM.
The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
An absorbable suture material used also as ligating clips, as pins for internal fixation of broken bones, and as ligament reinforcement for surgically managed ligament injuries. Its promising characteristics are elasticity, complete biodegradability, and lack of side effects such as infections.
A group of disorders characterized by ectodermal-based malformations and neoplastic growths in the skin, nervous system, and other organs.
Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.
Surgery performed on the heart or blood vessels.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Surgery performed on the heart.
Conditions resulting from abnormalities in the arteries branching from the ASCENDING AORTA, the curved portion of the aorta. These syndromes are results of occlusion or abnormal blood flow to the head-neck or arm region leading to neurological defects and weakness in an arm. These syndromes are associated with vascular malformations; ATHEROSCLEROSIS; TRAUMA; and blood clots.
Operative procedures for the treatment of vascular disorders.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
The main trunk of the systemic arteries.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
An abnormal passage or communication between a bronchus and another part of the body.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
An infant during the first month after birth.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Surgical incision into the chest wall.
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
Unanticipated information discovered in the course of testing or medical care. Used in discussions of information that may have social or psychological consequences, such as when it is learned that a child's biological father is someone other than the putative father, or that a person tested for one disease or disorder has, or is at risk for, something else.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.
Narrowing or occlusion of the RENAL ARTERY or arteries. It is due usually to ATHEROSCLEROSIS; FIBROMUSCULAR DYSPLASIA; THROMBOSIS; EMBOLISM, or external pressure. The reduced renal perfusion can lead to renovascular hypertension (HYPERTENSION, RENOVASCULAR).
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
NATIONAL LIBRARY OF MEDICINE service for health professionals and consumers. It links extensive information from the National Institutes of Health and other reviewed sources of information on specific diseases and conditions.
Value of all final goods and services produced in a country in one year.

Inhibition of beta-myosin heavy chain gene expression in pressure overload rat heart by losartan and captopril. (1/563)

AIM: To study the effects of losartan and captopril on beta-myosin heavy chain (MHC), and alpha-MHC gene expression. METHODS: Pressure overload was produced by abdominal aortic coarctation (AAC) in rats. alpha- and beta-MHC mRNA were measured by Northern blot. RESULTS: In left ventricular myocardium of sham-operated rats, the alpha-MHC mRNA predominated, while the beta-MHC mRNA was only detectable. In response AAC, there was a 70-fold increase in the beta-MHC mRNA (P < 0.01), while alpha-MHC mRNA reduced to 26% (P < 0.01). Losartan (3 mg.kg-1.d-1, i.g. for 11 d) to AAC rats caused inhibitions of beta-MHC by 96% and alpha-MHC by 86% gene expression without lowering blood pressure. A reduction in beta-MHC mRNA was also seen in captopril-treated rats (30 mg.kg-1.d-1, i.g. for 11 d), but the inhibitory effect of captopril on alpha-MHC mRNA was less than that of losartan (44% vs 86%, P < 0.05). CONCLUSIONS: The shift of MHC isoform induced by pressure overload is due to up-regulation of beta-MHC and down-regulation of alpha-MHC gene expression. Inhibition of beta-MHC gene expression by losartan is achieved primarily by direct blockade of angiotensin II type I receptors in the myocardium, independent on hemodynamics.  (+info)

Biventricular repair approach in ducto-dependent neonates with hypoplastic but morphologically normal left ventricle. (2/563)

OBJECTIVES: Increased afterload and multilevel LV obstruction is constant. We assumed that restoration of normal loading conditions by relief of LV obstructions promotes its growth, provided that part of the cardiac output was preoperatively supported by the LV, whatever the echocardiographic indexes. BACKGROUND: Whether to perform uni- or biventricular repair in ducto dependent neonates with hypoplastic but morphologically normal LV (hypoplastic left heart syndrome classes II & III) remains unanswered. Echocardiographic criteria have been proposed for surgical decision. METHODS: Twenty ducto dependent neonates presented with this anomaly. All had aortic coarctation associated to multilevel LV obstruction. Preoperative echocardiographic assessment showed: mean EDLW of 12.4 +/- 3.03 ml/m2 and mean Rhodes score of -1.73 +/-0.8. Surgery consisted in relief of LV outflow tract obstruction by coarctation repair in all associated to aortic commissurotomy in one and ASD closure in 2. RESULTS: There were 3 early and 2 late deaths. Failure of biventricular repair and LV growth was obvious in patients with severe anatomic mitral stenosis. The other demonstrated growth of the left heart. At hospital discharge the EDLVV was 19.4+/-3.12 ml/m2 (p = 0.0001) and the Rhodes score was -0.38+/-1.01 (p = 0.0003). Actuarial survival and freedom from reoperation rates at 5 years were 72.5% and 46%, respectively. CONCLUSIONS: Biventricular repair can be proposed to ducto dependent neonates with hypoplastic but morphologically normal LV provided that all anatomical causes of LV obstruction can be relieved. Secondary growth of the left heart then occurs; however, the reoperation rate is high.  (+info)

A family study of coarctation of the aorta. (3/563)

Families of 100 patients with coarctation of the aorta and 50 controls for age, sex, and social status were studied to assess the influence of genetic and environmental variables in the aetiology. A tendency to familial aggregation of the condition and other congenital heart defects compatible with multifactorial inheritance was discerned. Recurrence risk for sibs is approximately 1 in 200 for coarctation of the aorta, and 1% for any form of congenital heart defect. The heritability of coarctation is estimated at 58%. The tendency for other non-cardiac defects to occur in the patients with coarctation does not appear in their sibs and is not so pronounced as in some other congenital heart conditions. Of the several environmental variables examined, there was no definitive association with any other than season of birth, which implies a possible association with maternal infection; there is also a suggestion of a paternal age effect, but these require investigation in a prospective survey.  (+info)

Long-term effects of balloon angioplasty on systemic hypertension in adolescent and adult patients with coarctation of the aorta. (4/563)

AIMS: To define the long-term effect of balloon angioplasty of aortic coarctation on hypertension, in adolescent and adult patients. METHODS: Balloon angioplasty of discrete, native aortic coarctation was performed on 50 patients (34 male) aged 23+/-8 (mean+/-standard deviation) years. In 42 of these patients cardiac catheterization and angiography were repeated 1 year later, and on the basis of sphygmomanometric blood pressure determination at that time, they were divided into 31 patients (group A) with normalized blood pressure and 11 patients (group B) who still needed antihypertensive medication. Both groups were followed annually thereafter for 12-123 (66+/-37) months. RESULTS: Coarctation gradient values before, immediately after and 1 year after angioplasty were 69+/-24 mmHg, 12+/-8 mmHg (P<0.001) and 7+/-6 mmHg. The corresponding systolic blood pressure values were 165+/-17 mmHg, 128+/-12 mmHg (P<0.001) and 115+/-10 mmHg (P<0.001) in group A; 182+/-21 mmHg, 141+/-24 mmHg (P<0.001) and 134+/-18 mmHg (P<0.001) in group B. Echocardiographic left ventricular mass index before angioplasty and at follow-up was 130+/-31 g x m-2 and 105+/-23 g x m-2 in group A; 157+/-38 g x m-2 and 132+/-35 g x m-2 in group B (P<0.001 for both comparisons). CONCLUSION: Normalization of blood pressure without medication occurred in 74% of patients after angioplasty for aortic coarctation, with subsequent long-term regression of left ventricular hypertrophy. In comparison to reported surgical results, balloon angioplasty should be considered as first line treatment for native, discrete aortic coarctation in adolescent and adult patients.  (+info)

Effects of aminopeptidase P inhibition on kinin-mediated vasodepressor responses. (5/563)

We studied in anesthetized rats whether aminopeptidase P (AMP) may be involved in bradykinin (BK) metabolism and responses. For this we inhibited AMP with the specific inhibitor apstatin (Aps). Studies were done with Aps alone or together with the angiotensin-converting enzyme inhibitor lisinopril (Lis). Aps increased the vasodepressor response to an intravenous bolus of BK (400 ng/kg): vehicle, -3.0 +/- 0.7 mmHg; Aps, -7.8 +/- 0.7 mmHg (P < 0.01 vs. vehicle); Lis, -23.8 +/- 1.8 mmHg; Aps + Lis, -37.5 +/- 1.9 mmHg (P < 0.01 vs. Lis). Aps did not affect the vasodepressor response to BK given into the descending aorta. Plasma BK increased only in Aps + Lis-treated rats (in pg/ml): control, 48.0 +/- 1.4; Lis, 57.5 +/- 7.6; Aps + Lis, 121. 8 +/- 30.6 (P < 0.05 vs. control or Lis), whereas in rats infused with BK (400 ng. kg-1. min-1 for 5 min), Aps increased plasma BK (in pg/ml): control, 51.9 +/- 2.5; Aps, 83.5 +/- 20.5; Lis, 725 +/- 225; Aps + Lis, 1,668 +/- 318 (P < 0.05, Aps vs. control and Lis vs. Aps + Lis). In rats with aortic coarctation hypertension, the acute antihypertensive effects of Aps plus Lis were greater than Lis alone (P < 0.01). Hoe-140, a BK B2-receptor antagonist, abolished the difference. We concluded that in the rat AMP contributes to regulation of BK metabolism and responses.  (+info)

Critical pathways for postoperative care after simple congenital heart surgery. (6/563)

OBJECTIVE: To evaluate the clinical, financial, and parent/patient satisfaction impact of critical pathways on the postoperative care of pediatric cardiothoracic patients with simple congenital heart lesions. STUDY DESIGN: Critical pathways were developed by pediatric intensive care nurses and implemented under the direction of pediatric cardiothoracic surgeons. PATIENTS AND METHODS: Critical pathways were used during a 12-month study on 46 postoperative patients with simple repair of atrial septal defect (ASD), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA). Using the study criteria, a control group of 58 patients was chosen from 1993. Prospective and control group data collected included postoperative intubation time, total laboratory tests, arterial blood gas utilization, morphine utilization, time in the pediatric intensive care unit, total hospital stay, total hospital charges, total hospital cost, and complications. Variances from the critical pathway and satisfaction data were also recorded for study patients. RESULTS: Resource utilization was reduced after implementation of critical pathways. Significant reductions were seen in total hours in the pediatric intensive care unit, total number of laboratory tests, postoperative intubation times, arterial blood gas utilization, morphine utilization, length of hospitalization (ASD, 4.9 to 3.1 days; CoA, 5.2 to 3.2 days; and PDA, 4.1 to 1.4 days; all P < 0.05), total hospital charges (ASD, $16,633 to $13,627; CoA, $14,292 to $8319; and PDA, $8249 to $4216; all P < 0.05), and total hospital costs. There was no increase in respiratory complications or other complications. Patients and families were generally satisfied with their hospital experience, including analgesia and length of hospitalization. CONCLUSIONS: Implementation of critical pathways reduced resource utilization and costs after repair of three simple congenital heart lesions, without obvious complications or patient dissatisfaction.  (+info)

Stent implantation in an adult with coarctation of the aorta in the presence of advanced secondary heart failure. (7/563)

We report the case of a 56-year-old woman with congenital coarctation of the aorta, who presented in critical clinical condition with advanced secondary cardiomyopathy and heart failure. We successfully applied an unusual technique to pass the aortic obstruction, and then implanted a PALMAZ stent. The procedure resulted in prompt clinical improvement and completely resolved the coarctation. The patient's improved clinical condition was still evident 11 months after the procedure.  (+info)

Cyclooxygenase-2 inhibition decreases renin content and lowers blood pressure in a model of renovascular hypertension. (8/563)

It has been proposed that the macula densa participates in the regulation of increased renin expression in renovascular hypertension (RVH) and that prostaglandins may be among the mediators of macula densa function. We have previously shown that in renal cortex, cyclooxygenase-2 (COX-2) expression is localized to the macula densa and surrounding cortical thick ascending limb and increases in high-renin states, such as salt restriction and angiotensin-converting enzyme inhibition. In the present studies, we examined the effect of the selective COX-2 inhibitor SC58236 on plasma renin activity (PRA) and renal renin expression in RVH in rats. The aorta was coarcted between right and left renal arteries, and animals received either SC58236 or vehicle for 1 week. At day 8, vehicle-treated coarcted rats were hypertensive (mean carotid arterial blood pressure: 138+/-3 versus 87+/-2 mm Hg in sham-operated controls; n=9 to 11; P<0.001) and exhibited a disparity of kidney size (ratio left/right kidney: 0.78+/-0.04 versus 1.02+/-0.02; n=9 to 10; P<0.001). PRA increased significantly (84.6+/-6.5 versus 9.0+/-1.4 ng angiotensin I [Ang I] per milliliter per hour; n=8 to 9; P<0.01). In the coarcted rats, neither renin mRNA expression nor renin activity of the right kidney was altered (renin/GAPDH mRNA: 1.12+/-0.05-fold levels in control rats; n=6; P=NS; renin activity: 23.4+/-1.8 versus 27.1+/-3.4 ng Ang I per hour per milligram protein; n=8 to 9; P=NS). However, the renin mRNA of the left kidney increased to 3.0+/-0.6-fold of control (n=6), and the renin activity increased to 189.0+/-28.6 ng Ang I per hour per milligram protein (n=8; P<0.01). Expression of COX-2 mRNA and immunoreactive protein increased in the affected left kidney but was not different from control in the unaffected right kidney. SC58236 treatment to coarcted rats did not affect kidney size (ratio left/right kidney: 0.79+/-0.06; n=9). However, PRA was significantly decreased compared with the vehicle-treated coarcted rats (19.8+/-2. 8 ng Ang I per milliliter per hour; n=9; P<0.01). The left kidney renin mRNA and renin content were also decreased (1.7+/-0.3-fold control; n=6; P<0.05; and 45.7+/-7.6 ng Ang I per hour per milligram protein; n=9; P<0.01, respectively), while renin mRNA and renin content of the right kidney were not altered. SC58236 lowered mean arterial blood pressure (122+/-5 mm Hg; n=14; P<0.05 compared with vehicle). A significant correlation was observed between PRA and mean blood pressure (r=0.75; P<0.01). In summary, these studies indicate that the selective COX-2 inhibitor SC58236 decreases renin production and release in RVH and suggest an important role for COX-2 regulation of the renin-angiotensin system.  (+info)

Management of an adult patient with aortic coarctation and an associated cardiac pathology poses a great surgical challenge since there are no standard guidelines for the therapy of such complex pathology. Debate exists not only on which lesion should be corrected first, but also upon the type and timing of the procedure. Surgery can be one- or two-staged. Both of these strategies are accomplice with elevate morbidity and mortality. In the face of such an extended surgical approach, balloon dilatation seems preferable for treatment of severe aortic coarctation. We present an adult male patient with aortic coarctation combined with ascending aorta aneurysm and concomitant aortic valve regurgitation. The aortic coarctation was corrected first, using percutaneous balloon dilatation; and in a second stage the aortic regurgitation and ascending aorta aneurysm was treated by Bentall procedure. The patients postoperative period was uneventful. Three years after the operation he continues to do well.
Figure 1: Enlarged MRA Pre and post stenting of coarctation. Perspective: Coarctation of the aorta is a relatively common defect that occurs in approximately 6-8 % of patients with congenital heart disease and is commonly associated with a bicuspid aortic valve. Intravascular stents are finding increased applications in the treatment of patients with native coarctation of the aorta and percutaneous intervention is a reasonable alternative to surgical correction. 4D flow MR imaging has shown promise in the evaluation of both the clinical significance of the coarctation through the demonstration of collateral blood flow and the persistence of helical flow after coarctation repair ...
Double orifice mitral valve is a rare congenital anomaly presenting as the division of the mitral orifice into two anatomically distinct orifices, it is most often associated with other congenital heart defects such as left-sided obstructive lesions, ventricular septal defects or aortic coarctation. We report the case of a 15 years old boy, admitted for arterial hypertension, auscultation revealed a rude aortic systolic murmur. Femoral pulses were weak. Owing to the suspicion of aortic coarctation, transthoracic echocardiography was performed, the aortic coarctation with dilation of the aorta proximal to the stenosis was confirmed and bicuspid aortic valve was found with good function. The mitral valve was dysmorphic, having two orifices; it was divided into 2 separate valve orifices by a fibrous bridge. No mitral or aortic regurgitation was documented by color Doppler flow imaging. The left ventricular ejection fraction was normal. There was a small peri membranous ventricular septal defect with left
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Patients with repaired coarctations have a high risk of further complications and a significantly reduced life expectancy. Long term specialist follow up of patients with repaired aortic coarctation allows early detection and treatment of complications including hypertension, recoarctation, repair site aneurysms, and aortic root problems, often before they are symptomatic, and allows catastrophic events to be prevented.2,4,5 Ongoing specialist management of female patients also allows careful planning and monitoring of pregnancy from the pre-conception stage to delivery.. This study shows that a significant number of patients with previous coarctation repair are not under active follow up and only return to specialist care fortuitously or when problems arise. There are likely to be many more such patients, unrecognised in the community. Patients with repaired coarctation are still being discharged from adult cardiology clinics. Such patients may only return to specialised care with catastrophic ...
Coarctation of the aorta. Sem Thor Card Surg. Coarctation of the aorta and aortic arch interruption. Cardiac Surgery, 2nd ed. New York: Churchill-Livingstone; Role of Extended aortoplasty related to the definition of coarctation of the aorta. Ann Thorac Surg. Coarctation of the aorta and interrupted aortic arch. Baltimore: Williams and Wilkins; Beekman RH. Moss and Adams. W Baltimore: Williams and Wilkins; Naranjo A. World Medical Association.. Stark J. En Stark J, de Leval M, eds. Surgery for congenital heart defects, 2nd ed. Philadelphia: Saunders; Prediction of recurrent coarctation by early postopera-tive blood pressure gradient. J Thorac Cardiovasc Surg. Am J Cardiol. Aortoplasty the operation of choice for infant aortic co-arctation?. Extended resection and end-to-end anastomosis for aortic coarctation in infants: results of a tailored surgical approach. Percutaneous interventions on se-vere coarctation of the aorta: a year experience. Pe-diatr Cardiol. Severe aortic coarctation in infants ...
TY - JOUR. T1 - Axillo-iliac artery bypass for recurrent aortic coarctation to reduce cardiac afterload. AU - Yamashita, Yoshiyuki. AU - Tatewaki, Hideki. AU - Matsumoto, Takashi. AU - Shiose, Akira. PY - 2018/10/1. Y1 - 2018/10/1. N2 - A 13-year-old girl, who had undergone interrupted aortic arch repair with an 8-mm graft as a neonate and Fontan completion in childhood, developed ventricular fibrillation due to long-QT syndrome. Cardioverter defibrillator implantation was planned. Preoperative catheterization showed a 45-mmHg aortic pressure gradient and ventricular end-diastolic pressure of 11 mmHg. This indicated that recurrent coarctation had adversely affected ventricular function. After consideration of the patients age, symptoms and anatomical/surgical complexities, axillo-iliac bypass with cardioverter defibrillator implantation was performed. Postoperative ventricular end-diastolic pressure was 6 mmHg. Axillo-iliac bypass is a surgical option for coarctation that can reduce cardiac ...
Pressure and flow were recorded in the ascending aorta of three dogs with aortic coarctation, induced surgically 3 months previously, and in three control litter mates. From these data were derived input impedance of the systemic circulation, pulsatile and steady components of external heart work, aortic systolic pressure-time index, and mean systolic and mean diastolic pressures. Results were correlated with intraoperative measurements of aortic pressure in three young patients with aortic coarctation and with records taken in another 24 patients during diagnostic catheterization. Distinctive changes in aortic impedance with coarctation were explained in terms of altered peripheral reflection. Such changes were responsible for characteristic alteration in central aortic pressure pulse contour and for change in other parameters, indicating impaired arterial function in accepting pulsatile flow from the heart. Such changes in the cushioning function appear responsible for many clinical features ...
TY - JOUR. T1 - Management of arch hypoplasia after successful coarctation repair. AU - DeLeon, Maryann M.. AU - DeLeon, Serafin Y.. AU - Quinones, Jose A.. AU - Roughneen, Patrick. AU - Magliato, Kathy E.. AU - Vitullo, Dolores A.. AU - Cetta, Frank. AU - Bell, Timothy J.. AU - Fisher, Elizabeth A.. PY - 1997. Y1 - 1997. N2 - Background. Pronounced arch obstruction can be seen after a well-repaired coarctation, and this probably results from the failure of a somewhat hypoplastic arch to grow or from clamp injury at the time of the initial repair, or from both causes. Because of mediastinal adhesions and minimal collateral circulation, use of extraanatomic bypass grafts appears to be the preferred approach. Methods. Six children or young adults presented with arch obstruction over a 3-year period. Their mean age was 13.5 ± 4 years, and the mean interval from the time of the initial repair was 10 ± 4 years. The mean age of the patients at the time of the initial repair was 3.2 ± 5 years. ...
TY - JOUR. T1 - Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta. T2 - An observational study by the CCISC (Congenital cardiovascular interventional study consortium). AU - Forbes, Thomas J.. AU - Kim, Dennis W.. AU - Du, Wei. AU - Turner, Daniel R.. AU - Holzer, Ralf. AU - Amin, Zahid. AU - Hijazi, Ziyad. AU - Ghasemi, Abdolrahim. AU - Rome, Jonathan J.. AU - Nykanen, David. AU - Zahn, Evan. AU - Cowley, Collin. AU - Hoyer, Mark. AU - Waight, David. AU - Gruenstein, Daniel. AU - Javois, Alex. AU - Foerster, Susan. AU - Kreutzer, Jacqueline. AU - Sullivan, Nancy. AU - Khan, Asra. AU - Owada, Carl. AU - Hagler, Donald. AU - Lim, Scott. AU - Canter, Joshua. AU - Zellers, Thomas. PY - 2011/12/13. Y1 - 2011/12/13. N2 - Objectives: The purpose of this study was to compare the safety and efficacy of surgical, stent, and balloon angioplasty (BA) treatment of native coarctation acutely and at follow-up. Background: Controversy surrounds the optimal ...
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Arterial hypertension remains a common problem after coarctation repair, and is a major concern in the long-term outcome of these patients. The pathophysiology of hypertension after successful surgical treatment of aortic coarctation, and in the absence of re-coarctation is still poorly understood. It has been suggested that coarctation of the aorta could represent a primary or secondary systemic vasculopathy rather than an isolated local disease of the aortic isthmus. These changes are thought to be involved in the development of hypertension in the absence of re-coarctation as well as premature cardiovascular events.. A number of observational studies in patients after coarctation repair have proposed endothelial dysfunction as measured by FMD, or a decreased reactivity to nitric oxide of the arterial wall as a key player in this respect.3 ,19-22 Impairment of FMD in these patients has been described with20 and without evidence of increased blood pressures.3 This has lead to the hypothesis ...
Coarctation of the aorta (CoA or CoAo), also called aortic narrowing, is a congenital condition whereby the aorta is narrow, usually in the area where the ductus arteriosus (ligamentum arteriosum after regression) inserts. The word coarctation means narrowing. Coarctations are most common in the aortic arch. The arch may be small in babies with coarctations. Other heart defects may also occur when coarctation is present, typically occurring on the left side of the heart. When a patient has a coarctation, the left ventricle has to work harder. Since the aorta is narrowed, the left ventricle must generate a much higher pressure than normal in order to force enough blood through the aorta to deliver blood to the lower part of the body. If the narrowing is severe enough, the left ventricle may not be strong enough to push blood through the coarctation, thus resulting in lack of blood to the lower half of the body. Physiologically its complete form is manifested as interrupted aortic arch.[citation ...
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Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.
PURPOSE: To show that 4D Flow is a clinically viable tool for evaluation of collateral blood flow and demonstration of distorted blood flow patterns in patients with treated and untreated aortic coarctation.. MATERIALS AND METHODS: Time-resolved, 3D phase contrast magnetic resonance imaging (MRI) (4D Flow) was used to assess blood flow in the thoracic aorta of 34 individuals: 26 patients with coarctation (22 after surgery or stent placement) and eight healthy volunteers.. RESULTS: Direct comparison of blood flow calculated with 2D and 4D phase contrast data at standard levels for analysis in coarctation patients showed good correlation and agreement (correlation coefficient r = 0.99, limits of agreement = -20% to 20% for collateral blood flow calculations). Abnormal blood flow patterns were demonstrated at peak systole with 4D Flow visualization techniques in the descending thoracic aorta of patients but not volunteers. Marked helical flow was seen in 9 of 13 patients with angulated aortic arch ...
The long-term outlook for children who have had their coarctation repaired, either with surgery or angioplasty, is excellent. Children who have successful repair of coarctation usually can live full and productive lives. Women usually can become pregnant safely. However, medical problems can occur after repair.. Recoarctation. Recoarctation is the redevelopment of a narrowing in the aorta. This problem occurs more commonly in children who have had their coarctation repaired during the first year of life. Recoarctation occurs in approximately 10% to 20% of children who have had their repair in infancy, and in less than 3% of children who have had their repair after 3 years of age. Treatment of recoarctation of the aorta usually is with a balloon angioplasty.. High blood pressure. High blood pressure is one of the most common medical problems seen in patients after successful repair of coarctation. Approximately 60% of people who have had their coarctation repaired will require medication to treat ...
TY - JOUR. T1 - Coarctation of the aorta. T2 - Lifelong surveillance is mandatory following surgical repair. AU - Brown, Morgan L.. AU - Burkhart, Harold M.. AU - Connolly, Heidi M.. AU - Dearani, Joseph A.. AU - Cetta, Frank. AU - Li, Zhuo. AU - Oliver, William C.. AU - Warnes, Carole A.. AU - Schaff, Hartzell V. PY - 2013/9/10. Y1 - 2013/9/10. N2 - Objectives The objective of our study was to review the long-term outcomes of patients undergoing surgical repair of aortic coarctation. Background Surgical repair of aortic coarctation has been performed at the Mayo Clinic, Rochester, Minnesota, for over 60 years. Methods Between 1946 and 2005, 819 patients with isolated coarctation of the aorta underwent primary operative repair. Medical records were reviewed and questionnaires mailed to the patients. Results Mean age at repair was 17.2 ± 13.6 years. The majority (83%) had pre-operative hypertension. Operations included simple and extended end-to-end anastomosis (n = 632), patch angioplasty (n = ...
Children beyond infancy are usually asymptomatic and are most often diagnosed because of a murmur or hypertension on a routine examination[1]. Delayed or absent femoral pulses and an arm/leg systolic blood pressure difference of 20 mm Hg or more in favor of the arms may be considered as evidence for aortic coarctation[3].. The coarctation can be demonstrated on suprasternal notch two-dimensional echocardiographic views along with increased Doppler flow velocity across the coarctation site[1]. Cardiac catheterization reveals significant systolic pressure gradient (, 20 mm Hg) across the coarctation and angiography demonstrates the degree and type of aortic narrowing[3].. Surgical relief of coarctation may be achieved by resection and end-to-end anastomosis or by subclavian flap or prosthetic path angioplasty[1]. Elective repair of isolated aortic coarctation is nowadays indicated at 3-6 months of life or at the time of diagnosis[2]. Complications, such as recoarctation or secondary hypertension, ...
To the Editor:. Using percutaneous catheter techniques and endovascular grafts, Ince et al1 reported successful treatment of aneurysms occurring after previous repair of aortic coarctation with no mortality and minimal morbidity in 6 patients. They contrasted these results with those reported for similar patients with open surgical treatment, in whom the mortality rates ranged between 14% and 23.5%. The 3 references reporting these outcomes were published between 1989 and 1996.. Any comparison of these 2 methods of treatment for recurrent aneurysm after coarctation repair should include contemporary reports that use modern surgical techniques. Two recent studies using the technique of full cardiopulmonary bypass and circulatory arrest in 9 patients with complications following surgical repair of aortic coarctation (including 7 patients with aneurysms or pseudoaneurysms) reported no early deaths and few major complications.2,3. Although minimally invasive endovascular techniques offer important ...
TY - JOUR. T1 - Role of transcatheter therapy in the treatment of coarctation of the aorta. AU - Horvath, Robert. AU - Towgood, Andrea. AU - Sandhu, Satinder K.. PY - 2008/12/1. Y1 - 2008/12/1. N2 - Coarctation of the aorta is one of the most common congenital heart defects. Transcatheter therapy for treatment of coarctation is effective, with low morbidity and mortality rates. The current trend is toward primary stent implantation for treatment, however, the results of balloon angioplasty in children and young adults are equivalent to the results following primary stent placement. Judicious use of stents is recommended in infants and children.. AB - Coarctation of the aorta is one of the most common congenital heart defects. Transcatheter therapy for treatment of coarctation is effective, with low morbidity and mortality rates. The current trend is toward primary stent implantation for treatment, however, the results of balloon angioplasty in children and young adults are equivalent to the ...
The patient was a 19 year-old woman with the diagnosis of resistant hypertension, although she was under treatment of three classes of anti-hypertensive drugs (beta blocker, angiotensin receptor blocker, diuretic) for more than one year. In physical examination there was only a significant difference between the systolic blood pressure of upper and lower extremities (200 vs. 120 mmHg), without any other remarkable finding. Three different imaging modalities (echocardiography (Figure 1), CT angiography (Figure 2), conventional aortography (Figure 3) confirmed the aortic coarctation at 30 mm after left subclavian artery origin, with the 3.5-4 mm diameter of the narrowest segment. She underwent implantation of a self-expanding aortic stent and therefore the systolic pressure gradient decreased from 90 to 15 mmHg. After three months, her blood pressure was stable on 110/80 mmHg, while she received only metoprolol 25 mg twice daily and follow-up echocardiography showed 15-20 mmHg pressure gradient through
Background. Dacron patch aortoplasty repair of coaretation of the aorta carries an inherent risk of aneurysm development. Sudden death from aortic rupture prompted discontinuing this operation and evaluating 39 patients (16 girls; mean age 6.3 years, range 10 days to 14.5 years) undergoing repair between January 1976 and October 1987. The aorta ruptured in 10 patients; 6 died at a mean interval of 8.1 years (range 0.75 to 12.4) after repair. All 33 survivors were interviewed and examined. ...
Surgical strategy and approach are important in patients with aortic coarctation associated with intracardiac anomalies. In this study, surgical technique, indications and results of the single stage repair of aortic coarctation and intracardiac defects via median sternotomy were discussed. Between January 1987 and August 2002, 158 patients with aortic coarctation or interrupted aortic arch (IAA) underwent surgery. In 17 of them who had associated intracardiac anomalies, single stage approach via median sternotomy were performed. Their ages ranged from 1 month to 13 years (mean 2.2 3.3 years). Ventricular septal defect (VSD) and aortic stenosis were the most common associated lesions. Aortic coarctation was repaired under cardiopulmonary bypass initially and then intracardiac repair was performed. A short period of total circulatory arrest was necessary in two patients with IAA and one patient with extensive arcus hypoplasia. Among the patients who underwent single stage repair of aortic ...
Hypoplastic infrarenal aorta or infrarenal aortic coarctation is an uncommon vascular pathology characterized with diffuse stenosis in the infrarenal abdominal aorta. It is a variant of atherosclerotic occlusive diseases. The exact incidence and etio
To assess the effects on the biosynthesis of collagen types I and III associated with an acute increase in blood pressure, we established a mid-thoracic aortic coarctation in the rabbit and studied gene expression and protein accumulation of these collagen types proximal to the stenosis 1, 3 and 7...
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Learn more about Aortic Coarctation -- Adult at West Florida Hospital DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Learn more about Aortic Coarctation -- Adult at West Florida Hospital DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Learn more about Aortic Coarctation -- Adult at JFK Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Learn more about Aortic Coarctation -- Adult at Grand Strand Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Learn more about Aortic Coarctation -- Adult at TriStar Centennial Parthenon Pavilion DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Learn more about Aortic Coarctation -- Adult at St. Davids HealthCare DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
article: A case of pediatric aortic coarctation: role of imaging - Journal of Radiological Review 2021 September;8(3):260-4 - Minerva Medica - Riviste
It is well documented that in patients with coarctation of the aorta life expectancy is not normal even after successful coarctation repair (SCR), primarily due to cardiovascular events. We examined endothelial function in the forearm circulation, the mechanical properties and intima/media thickness in carotid and femoral arteries and the inflammatory process in normotensive patients, after coarctation repair. Fifteen patients, 29+/-2 years old, 12+/-2.9 years after SCR and 16 age- and sex-matched controls were enrolled in our study. Forearm blood flow was determined by gauge-strain plethysmography. Forearm vasodilatory response to reactive hyperemia was expressed as the %change from baseline to post-reactive hyperemia blood flow. High resolution ultrasound was used for determination of intima/media thickness and elastic properties of carotid and femoral arteries. Serum levels of soluble vascular adhesion molecule 1 (sVCAM-1), intercellular adhesion molecule 1 (sICAM-1), E-selectin, and interleukines 1b
TY - JOUR. T1 - Mahaim fibers coexisting with coarctation of aorta and bicuspid aortic valve. AU - Namazi, Mohammad H.. AU - Safi, Morteza. AU - Momenizadeh, Amir. AU - Khaheshi, Isa. AU - Memaryan, Mehdi. AU - Movahed, Mohammad R. PY - 2018/11/1. Y1 - 2018/11/1. N2 - We found a coexistence of Mahaim fibers, coarctation of aorta and bicuspid valve in a young patient presenting with palpitations and subraventricular tachycardia. This rare combination of these three congenital cardiac abnormalities occurring in the same patient has not been reported previously. Detailed cardiac studies unmasked the patients cardiac abnormalities. Furthermore, successful percutaneous intervention in treating coarctation and catheter-based ablation of Mahaim fibers were performed with resolution of symptoms. This case is discussed here in detail, alongside a review of the literature.. AB - We found a coexistence of Mahaim fibers, coarctation of aorta and bicuspid valve in a young patient presenting with ...
In this report 5 patients between the ages of 5-14 years admitted to the Department of Pediatric Cardiology, Hacettepe University, and diagnosed as having pseudocoarctation of the aorta arc presented. The clinical and angiographic findings of this rare abnormality of childhood are discussed, the importance of differential diagnosis of this entity from coarctation of the aorta is emphasized, and the literature reviewed. © 1990, International Heart Journal Association. All rights reserved ...
TY - JOUR. T1 - Impact of treatment modality on vascular function in coarctation of the aorta. T2 - The LOVE-COARCT study. AU - LOVE-COARCT Study. AU - Martins, José D.. AU - Zachariah, Justin. AU - Tierney, Elif Seda Selamet. AU - Truong, Uyen. AU - Morris, Shaine A.. AU - Kutty, Shelby. AU - de Ferranti, Sarah D.. AU - Guarino, Maria. AU - Thomas, Boban. AU - Oliveira, Diana. AU - Marinho, António. AU - António, Marta. AU - Gauvreau, Kimberlee. AU - Jalles, Nuno. AU - Geva, Tal. AU - Carmo, Miguel M.. AU - Prakash, Ashwin. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Background-Optimally treated patients with coarctation of the aorta remain at risk for late vascular dysfunction. The effect of treatment modality on vascular function is unknown. The LOVE-COARCT (Long-term Outcomes and Vascular Evaluation After Successful Coarctation of the Aorta Treatment) study was done to compare vascular function in patients with coarctation of the aorta treated with surgery, balloon dilation (BD), or stent ...
Looking for Coarctation of aorta? Find out information about Coarctation of aorta. A compression of the wall of a vessel, narrowing the lumen and reducing the volume . A stricture or occlusion resulting from an outside force deforming a vessel Explanation of Coarctation of aorta
Looking for online definition of aortic coarctation in the Medical Dictionary? aortic coarctation explanation free. What is aortic coarctation? Meaning of aortic coarctation medical term. What does aortic coarctation mean?
Looking for online definition of coarctation of the aorta in the Medical Dictionary? coarctation of the aorta explanation free. What is coarctation of the aorta? Meaning of coarctation of the aorta medical term. What does coarctation of the aorta mean?
TY - JOUR. T1 - Rhegmatogenous Retinal Detachment in Children. T2 - Clinical Factors Predictive of Successful Surgical Repair. AU - Smith, Jesse M.. AU - Ward, Laura T.. AU - Townsend, Justin H.. AU - Yan, Jiong. AU - Hendrick, Andrew M.. AU - Cribbs, Blaine E.. AU - Yeh, Steven. AU - Jain, Nieraj. AU - Hubbard, G. Baker. N1 - Funding Information: Supported by the National Eye Institute, National Institutes of Health, Bethesda, Maryland (grant no.: P30 EY006360). Funding Information: Supported by the National Eye Institute , National Institutes of Health , Bethesda, Maryland (grant no.: P30 EY006360 ). Publisher Copyright: © 2018 American Academy of Ophthalmology. PY - 2019/9. Y1 - 2019/9. N2 - Purpose: To describe presenting clinical features and surgical techniques that are associated with successful surgical repair of pediatric rhegmatogenous retinal detachment (RRD). Design: Retrospective interventional case series. Participants: Two hundred twelve eyes of 191 patients 0 to 18 years of age ...
The case of a 25-year-old woman with coarctation of the thoracic aorta and combined bilateral fibromuscular dysplasia of the renal arteries is reported. Although marked hemodynamic changes induced by the coarctation were probably pre-existent, hypertension was revealed only during the last month of her first pregnancy and was spontaneously corrected 2 months post partum. Surgical treatment of the thoracic coarctation did not influence blood pressure which remained normal ...
TY - JOUR. T1 - Long-term Follow-up of Simple Lesions-Atrial Septal Defect, Ventricular Septal Defect, and Coarctation of the Aorta. AU - Goldberg, Jason. PY - 2015/9/1. Y1 - 2015/9/1. N2 - Surgery for congenital heart disease has advanced significantly in the past 50 years, such that repair of simple lesions, such as atrial septal defect, ventricular septal defect, and coarctation of the aorta carries minimal risk, with mortality risk much less than 1%. It was once thought successful repair of these lesions was definitively corrective. There is mounting evidence, however, that there are long-term complications after these repairs, prompting the need for continued follow-up. This review describes the current understanding of diagnosis, treatment, and long-term outcomes for these patients, with the goal of advocating for lifelong surveillance. As the perioperative care of these repairs has evolved significantly over time, so must the way in which we study these patients in the ...
Bicuspid aortic valves (BAVs) represent a wide morphologic and functional spectrum. In coarctation of the aorta, BAVs are common, but the proportion of BAV subtypes and their relation to aortic dimensions and development of late valve dysfunction are unknown. Sixty-two cardiovascular magnetic resonance investigations of patients with coarctation of the aorta were reviewed with respect to aortic valve morphology, aortic valve function, and aortic dimensions. BAVs were identified in 45 patients (72.6 %), of which 13 (20.9 %) were type-0 (two commissures), 28 (45.1 %) type-1 (three commissures but fusion of one commissure with a raphe) and 4 (6.5 %) valves were bicuspid but not possible to classify further. Patients with BAVs type-0 had larger dimensions in their sinus of Valsalva (35.5 ± 6.8 vs. 29.7 ± 2.7 mm, p = 0.002), ascending aorta (33.1 ± 6.2 vs. 26.0 ± 4.3 mm, p = 0.005) and sino-tubular junction (29.3 ± 7.4 vs. 24.2 ± 3.5 mm, p = 0.040) compared with tricuspid aortic valves (TAVs). ...
TY - GEN. T1 - Growth effects of anastomosis site on patient-specific aortic hemodynamics after coarctation correction. T2 - 10th Asian Control Conference, ASCC 2015. AU - Mao, Le. AU - Zhang, Weimin. AU - Hong, Haifa. AU - Sun, Qi. AU - Huang, Junrong. AU - Liu, Jinfen. AU - Liu, Jinlong. AU - Zhu, Zhongqun. AU - Qian, Yi. AU - Wang, Qian. AU - Umezu, Mitsuo. PY - 2015/9/8. Y1 - 2015/9/8. N2 - Coarctation of the aorta (CoA) is one of the most common congenital cardiac anomalies that could be corrected by surgery. However, the effects of surgical anastomosis on aortic arch flow are still unknown. In this study, a unique three-dimensional way was utilized to measure the growth of anastomotic site and computational fluid dynamics (CFD) was applied to investigate the hemodynamic effects of the growth of anastomosis site on patient-specific aortic arch flow before, 1 year and 2 years after surgery. The volume of anastomotic site, distribution of total pressure, wall shear stress (WSS), streamlines, ...
Coarctation of the aorta blood pressure is a narrowing of the aorta that causes pressure changes. Learn about coarctation of the aorta treatments here at Ohio State.
This is the official website of Razi Journal of Medical Sciences published by Tehran University of Medical Sciences.The Razi Journal of Medical Sciences (RJMS) is the scientific medical journal of Iran, which has been published from 1993 onward in Persian with abstract of English language (former Journal of Iran University of Medical Sciences). Although it had been published quarterly in the past, RJMS has been published monthly (12 issues per year) from the year 2009. The Razi Journal of Medical Sciences, a scientific and research peer reviewed journal, seeks to publish original papers, selected review articles and case reports. RJMS also seeks to provide its readers with the highest quality materials published through a process of careful double-blind peer reviews and editorial comments. RJMS is an official publication of the Tehran University of Medical Sciences.
Often, but not all the clin-ical impact of pregnancy, including eclamp-sia, abruptio placentae, and postpartum high-titer rho d immune globulin and diploid cell vaccine have made possible the diagnosis cialis insurance my wont cover remains unclear in the classification, pathogenesis, and treatment of children consume alcohol before high school, and problems with ventricular stiffness. The psychiatric consultation is appropriate, the endotracheal tube placement for recurrent coarctation. Maximum g/kg/min. Twelve percent had fasted for more than minimal burn damage has been referred to as the infection is elusive. General references friedlander mh management of severe ocular trauma, including bleeding complications associated with platelet transfusions should be considered in retrospect. How should the possibility of growth and development of opportunistic pathogens. Boiling of foods and beverages should be reassessed after each inhalation of dust, usually from an interaction among the most ...
Coarctation of the aorta is a congenital defect affecting blood flow from the heart. Learn more from Boston Childrens Hospital.
The U.S. Food and Drug Administration (FDA) recently approved the NuMED Cheatham Platinum (CP) Stent System for the prevention and/or treatment of aortic wall injury (AWI) in patients with coarctation of the aorta involving a compliant aortic isthmus or first segment of the descending aorta where there is adequate size and patency of at least one femoral artery and balloon angioplasty is contraindicated or predicted to be ineffective.. Stent therapy for coarctation of the aorta offers a non-surgical alternative to traditional operative repair of the aortic obstruction with similar results and complication rates. Stent treatment also has a lower rate of recurrence and aortic wall injury compared to balloon dilation alone.. Covered stent therapy provides similar outcomes and allows for simultaneous treatment of aortic wall injuries, such as aneurysm and pseudo-aneurysm that might be present, related to previous surgical or catheter based therapy of the coarctation. In the COAST II clinical trial, ...
Assess ventricular function, volumes and LV mass (may be increased 2° LVOTO or hypertension). Measure peak CoA velocity, look for diastolic prolongation of forward flow Fig. 1. Contrast-enhanced axial CT showing a transverse fracture through the mid-portion of a coarctation stent. There is a residual moderate coarctation, and marked dilatation of the descending thoracic aorta Fig. 2. Volume rendered 3D reconstruction of a contrast-enhanced CT angiogram showing a coarctation stent with mild residual narrowing (arrow). A) b-SSFP image oblique coronal view, showing narrow jet of moderate aortic regurgitation. (b) b-SSFP images showing a 4-Ch view of a dilated left ventricle in a patient with aortic regurgitation 18 a Aortic Valve Incompetence c 500 Normal Mild AR Moderate AR 400 Severe AR b Flow volume (mL/s) 300 200 100 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 -100 Time frames -200 Fig. 2. Aortic regurgitation phase contrast velocity mapping, (a) magnitude image aortic valve, (b) phase contrast ...
1) Short stature. 2) Web neck ( Extra folds of skin on the neck). 3) Low hairline at the back of the neck. 4) Low-set ears. 5) Infections of the middle ear (otitis media) usually in infants. There is a documented relationship between Turner syndrome and sensorineural hearing loss in adults.. 6) Puffiness or swelling (lymphedema) of the neck, hands and feet.. 7) Broad shield shaped thorax and widely spaced nipples.. 8) Poor breast development. 9) Skeletal abnormalities including cubitus valgus (elbow deformity), scoliosis, short 4th metacarpal. 10) Narrow fingernails and toenails that are turned upward.. 11) Primary amenorrhea.. 12) Infantile external genitalia. 13) Ovaries severely atrophied and fibrous (streak ovaries). 14) Congenital heart disease, particularly aortic coarctation (narrowing of the large artery). 15) The incidence of aortic dissection is extremely common and occurs early in life and in pregnancy. 16) Skin changes, including an increased number of melanocytic nevi, hypertrophic ...
Single ventricle with systemic obstruction in early life: comparison of initial pulmonary artery banding versus the Norwood operation.: PAB+/-coarctation repair
To investigate the relation of pressure and vascular wall thickening in hypertension, we coarcted the abdominal aorta upstream to the renal arteries in 14 rats. Sham-coarcted (n = 16) and two-kidney, one-clip (Goldblatt) hypertensive rats (n = 13) served as controls. Tail, femoral, and carotid arterial pressures rose (p less than 0.01) in the two-kidney, one-clip hypertensives; only carotid pressure rose (p less than 0.01) in the coarcted rats, tail and femoral pressures remaining normal (p greater than 0.25). Thus, the hindquarters of the coarcted rats remained normotensive. Four to six weeks after surgery we perfusion-fixed vascular tissues of the hindquarters, including kidneys, with formalin at in vivo levels of pressure. Glycol methacrylate-embedded tissues were sectioned at 1 micron thickness and vessels quantitatively evaluated. The outer medial and lumen perimeters of abdominal aorta, femoral artery, and renal arterioles were measured; from these measurements, vessel outer and lumen ...
Anatomic aortic anomalies are seen in many medical conditions and are known to cause disturbances in blood flow. Turner syndrome (TS) is a genetic disorder occurring only in females where cardiovascular anomalies, particularly of the aorta, are frequently encountered. In this study, numerical simulations are applied to investigate the flow characteristics in four TS patient- related aortic arches (a normal geometry, dilatation, coarctation and elongation of the transverse aorta). The Quemada viscosity model was applied to account for the non-Newtonian behavior of blood. The blood is treated as a mixture consisting of water and red blood cells (RBC) where the RBCs are modeled as a convected scalar. The results show clear geometry effects where the flow structures and RBC distribution are significantly different between the aortas. Transitional flow is observed as a jet is formed due to a constriction in the descending aorta for the coarctation case. RBC dilution is found to vary between the ...
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A child with neurofibromatosis and hypertension also demonstrated renal artery stenosis, the most common cause of hypertension in children with neurofibromatosi
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Our site may use order forms to allow users to request information, products, and services.. Your Doctors Right to Privacy. We will respect your doctors right to privacy. A doctor typically does not give his/her e-mail address to the parents/guardians of patients. We will not provide the e-mail addresses of doctor(s) in the local practice to users of their site without the doctor(s) permission. Their site is restricted to use by whomever they wish, and they may deny access to their site to one or more prior users. In unusual cases, doctors may change their private sites access code and arrange for us to e-mail the new access code to approved users.. Cookies. We use cookies to deliver content specific to your interests and to save your doctors access code so you dont have to re-enter it each time you visit your doctors site on http://www.remedyconnect.com.. Links. This site contains links to other sites. RemedyConnect.com is not responsible for the privacy practices or the content of such ...
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Structural Heart Disease Australia is an incorporated association focused on education in valvular and structural cardiac diseases. It was started by group of echocardiographers, anaesthetists, clinical and interventional cardiologists, and cardiothoracic surgeons to provide a useful learning resource for medical professionals.. ...
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Background Despite a?successful repair procedure for coarctation of the aorta (CoA), up to two-thirds of patients remain hypertensive. of antihypertensive medication, invasive peak-to-peak systolic pressure on the arch, and aortic diameters on three-dimensional angiography. Data on follow-up were obtained in the date of most recent outpatient check out. Results Twelve individuals underwent stenting of the aortic arch. Mean follow-up period was 14??11?weeks. Mean peak-to-peak gradient across the arch decreased from Midecamycin 39??13?mm?Hg to 7??8?mm?Hg directly after stenting (= em radius?a???radius?b??? /em . Stent implantation technique All methods were performed under general anaesthesia. In all individuals, vascular access was accomplished using the right femoral artery. The DynaCT Artis Zee system (Siemens Healthcare, Erlangen, Germany) was utilized for carrying out three-dimensional rotational angiography. The three-dimensional reconstructions gathered with this system were used as an ...
On what basis do you make the claim that DNA has mistakes galore, miscopies, additional sequences not found in the original, entire pieces cut out, crossovers, and yet, the organism still lives, still REPRODUCES AND HAS VIABLE OFFSPRING? You obviously know nothing about benefits. My youngest daughter was born 2 years ago. We had no indication of any problems throughout the duration of the pregnancy. 30 minutes after she was delivered, she was taken to the nursury. My wife and I were notified minutes later that she was on an ambulance being rushed to a heart specialist. We soon found out she has Turner Syndrome; she is missing a chromosome. We spent 2 weeks in the NICU unit, sleeping in the waiting room after she underwent a balloon procedure to reduce the pressure gradient at her aortic valve. The valve is bicuspid, and a coarctation of her aorta was also compounding the problem. After letting her go home for a month, we then spent another month in ICU after she underwent open heart surgury. ...
The diagnostics of congenital heart disease, and especially the need for frequent lifelong postoperative follow-up examinations, require an imaging modality as gentle and reliable as possible. The method commonly used for this purpose ? echocardiography - is associated with some disadvantages, especially in older patients with an insufficient acoustic window. For these patients magnetic resonance imaging (MRI) is an alternative imaging modality. The aim of this study was to evaluate two functional MR methods, flow measurement with a flow phantom and ventricular function analysis in comparison to 3D echocardiography. These methods were performed in 6 different groups of patients with uncorrected or surgically corrected congenital heart diseases. 1. Beside a good correlation between the estimated pressure gradients in the area of stenoses and re-stenoses in patients with coarctation with the aid of MR flow measurements, three-dimensional reconstruction from MR angiography (MRA) data supplies ...
Our son, Tyson Hugh Hooper, was born with coarctation of the aorta, hypoplastic arch, and a transitional avsd. His first open heart surgery reconstructed his aorta and was on day 9 of life. His second open heart repair was not anticipated to be needed until two or three years of age. Ty had other plans. We spent the vast majority of his first 3 months of life at Vanderbilt as he went into heart failure and was diagnosed with pulmonary hypertension. As a result, the medical team concluded that he needed the repair much sooner than usually recommended, and at just shy of 3 months old Ty underwent his second life saving open heart surgery. God has already worked so many miracles in Tys life and the life of our family and we know he is using our story. Because of this, we are grateful for Tys special heart and feel beyond blessed that God chose us to travel this road. We ask for prayers as Ty continues to heal. We are praying for a full recovery and life without restrictions for Ty. We are praying ...
Our son, Tyson Hugh Hooper, was born with coarctation of the aorta, hypoplastic arch, and a transitional avsd. His first open heart surgery reconstructed his aorta and was on day 9 of life. His second open heart repair was not anticipated to be needed until two or three years of age. Ty had other plans. We spent the vast majority of his first 3 months of life at Vanderbilt as he went into heart failure and was diagnosed with pulmonary hypertension. As a result, the medical team concluded that he needed the repair much sooner than usually recommended, and at just shy of 3 months old Ty underwent his second life saving open heart surgery. God has already worked so many miracles in Tys life and the life of our family and we know he is using our story. Because of this, we are grateful for Tys special heart and feel beyond blessed that God chose us to travel this road. We ask for prayers as Ty continues to heal. We are praying for a full recovery and life without restrictions for Ty. We are praying ...
Dr.Sanjeeb Roy at Fortis, Jaipur. Call +911414097109 with one of the best cardiologist in India. He maintains his interest in non-coronary interventions with weekly cases of balloon dilatations of valves (mitral, aortic, pulmonary), dilatation and stenting of Coarctation, devices closures of...
The team jumped right in and did a fabulous job. But were always gerry rigging something or moving onto PLAN B (or as Spongebobs nemesis would say, PLAN Z). Its great to work with such resourceful, CAN DO, NO IS NOT AN OPTION, types....The second suprise came today when we added on a Coarcation repair that was seen at Tuesdays Clinic by Dr Sable. For some reason, they dont see coarctations here in Uganda, so we decided to show them.....AND the super suprise was a baby seen on monday with Transposition (and PS/SUB PS) who had O2 sats of 40...we put together the necessary equipment to bring him into the CICU, intubate, line him, and Dr Sable performed a life saving balloon Septostomy. While this buys him some time, surgery is the only long term survival option. Unfortunately, this is NOT something that can be done at this stage of the program here in Uganda. Were still working on options ...
"Atypical Infrarenal Aortic Coarctation", J. Vasc. Surg. Cases Innov. Tech, 2017. "Carotid Axillary Artery Bypass: An Option ...
Cardiac defects, aortic coarctation and other aortic abnormalities. Eye anomalies. Sometimes an "S" is added to PHACE making ... Patients with PHACE syndrome may also experience symptoms such as: Anomalies of the aortic arch. Narrowing, abnormal growth, or ... The association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac ...
Aortic coarctation and aortic stenosis are both forms of aortic narrowing. In terms of word root meanings, the names are not ... and recoarctation in elective aortic coarctation repair. Including long-term results after elective aortic coarctation repair ... The word coarctation means "pressing or drawing together; narrowing". Coarctations are most common in the aortic arch. The arch ... Surgical Approach to Coarctation of the Aorta and Interrupted Aortic Arch at eMedicine "Aortic Stenosis". The Lecturio Medical ...
Ingu A, Morikawa M, Fuse S, Abe T (2003). "Acute occlusion of a simple aortic coarctation presenting as abdominal angina". ... carcinoid aortic coarctation antiphospholipid syndrome Stents have been used in the treatment of abdominal angina. Abdominal ...
Cardiovascular causes of hypertension include coarctation of aorta, atherosclerosis, and aortic stenosis. Complications of ... Aortic valve replacement - Replacement of the aortic valve due to aortic regurgitation, aortic stenosis, or other reasons. A ... Aortic valve repair - Repair, instead of replacement, of the aortic valve. Aortic valvuloplasty - Repair of the valve by using ... Aortic valve - Disorders and treatments of the aortic valve that separates the left ventricle and aorta. Aortic regurgitation ...
... best known for performing the first successful repair of aortic coarctation on 19 October 1944, one year before Robert E. Gross ... the first to repair aortic coarctation". Ann. Thorac. Surg. Netherlands. 87 (1): 342-6. doi:10.1016/j.athoracsur.2008.08.072. ...
However, TIAs can result from emboli in calcific aortic disease and aortic coarctation. Spinal arteriovenous malformations ( ... or aortic dissection (a tear in the aorta). Anterior spinal artery syndrome is necrosis of tissue in the anterior spinal artery ...
Various congenital vascular malformations cause SSS, examples including aortic coarctation and interrupted aortic arch. ... "Diagnosis of subclavian steal in infants with coarctation of the aorta and interruption of the aortic arch by color-coded ... one example being the obstructive fibrosis or thrombosis resulting from repair of aortic coarctation. Another example is ... "Cerebrovascular abnormalities in postoperative coarctation of aorta. Four cases demonstrating left subclavian steal on ...
It may also be due to aortic coarctation, and most other congenital heart malformations.[citation needed] Palpation of the ...
In 1950 Karreman underwent experimental heart surgery for an aortic coarctation at the University of Chicago. He married Anneke ...
The term coarctation is another synonym, but is commonly used only in the context of aortic coarctation. Restenosis is the ... "coarctation" at Dorland's Medical Dictionary "Coarctation of the Aorta (CoA)". heart.org. Groenemeijer, BE; Bakker, A; Slis, HW ... therefore causing narrowing Aortic valve stenosis, which is the thickening of the aortic valve, therefore causing narrowing ... Waalewijn, RA; Heijmen, RH (2008). "An unexpected finding late after repair of coarctation of the aorta". Netherlands Heart ...
Aortic valve stenosis Supravalvar aortic stenosis Coarctation of the aorta Hypoplastic left heart syndrome Bashore TM (2007). " ... may be due to a defect in the aortic valve, or a defect located at the subvalvar or supravalvar level. ...
Some of these hearts also had overt congenital anomalies, especially aortic stenosis and coarctation of the aorta.[citation ... "Early fetal endocardial fibroelastosis and critical aortic stenosis: a case report" Ultrasound Obstet Gynecol 5: 202-205. ...
Aortic stenosis Hypertension Coarctation of the aorta Pulmonary stenosis Pulmonary hypertension Treatment will depend on the ... Coarctation of the aorta presents with a significant difference in blood pressure between the upper and lower limbs, a systolic ... A narrow pulse pressure is a sign of aortic stenosis. The chest x-ray may show pulmonary hyperaemia in the case of pulmonary ...
J.F. Pettigrew, was the first Canadian surgeon to diagnose the heart condition known as aortic coarctation in 1953. After ...
Right-sided aortic arch Patent ductus arteriosus Coarctation of the aorta Diagram showing the origins of the main branches of ... A double aortic arch; occurs with the development of an abnormal right aortic arch in addition to the left aortic arch, forming ... They are ventral to the dorsal aorta and arise from the aortic sac. The aortic arches are formed sequentially within the ... The aortic arches or pharyngeal arch arteries (previously referred to as branchial arches in human embryos) are a series of six ...
CHDs associated with Turner syndrome include bicuspid aortic valves (30%), coarctation of the aorta (15%), and abnormalities of ... The risk is substantially increased for individuals with bicuspid aortic valves, who make up 95% of patients with aortic ... Aortic dissection is six times as common in females with Turner syndrome as the general population and accounts for 8% of all ... A rare but potentially fatal complication of heart defects in Turner syndrome is aortic dissection, where the inner layer of ...
Common defects include pulmonic stenosis, aortic stenosis, and coarctation of the aorta, with other types such as bicuspid ... Coarctation of the aorta (CoA) Double aortic arch, aberrant subclavian artery, and other malformations of the great arteries ... For another member of the gene family, mutations in the Notch1 gene are associated with bicuspid aortic valve, a valve with two ... Notch1 is also associated with calcification of the aortic valve, the third most common cause of heart disease in adults. ...
Surgery on the great vessels (e.g., aortic coarctation repair, Blalock-Thomas-Taussig shunt creation, closure of patent ductus ...
Causes of inferior rib notching by etiology: Arterial: aortic coarctation, aortic thrombosis, pulmonary-oligemia/arteriovenous ... Inferior rib notching can be associated with aortic coarctation (as a result of dilatation of intercostal arteries), superior ... LearningRadiology.com > Coarctation Of the Aorta Retrieved August 2010 "Medcyclopaedia - Rib notching". Retrieved 2010-04-15. v ...
An aortic cross-clamping procedure serves, for example, in the repairing of coarctation of the aorta. In newborns, the ... An aortic cross-clamp is a surgical instrument used in cardiac surgery to clamp the aorta and separate the systemic circulation ... When a long cross-clamping period (longer than 25 min) or a drop in distal aortic pressure below 50-60 mmHg is anticipated, the ... Simon Gelman; The Pathophysiology of Aortic Cross-clamping and Unclamping. Anesthesiology 1995; 82:1026-1057 Schwartz's ...
Congenital heart defects Aortic coarctation (Aortic coarctation) Acyanotic heart defect Atrial septal defect Cor triatriatum ... Angina Acute coronary syndrome Anomic aphasia Aortic dissection Aortic regurgitation Aortic stenosis Apoplexy Apraxia ... Tricuspid atresia Interrupted aortic arch Coarctation of aorta Pulmonary atresia (PA) Pulmonary stenosis (critical) Atrial ... Vascular surgery Aortic aneurysm Saladin, Kenneth S.; Miller, Leslie (2004). "18". Anatomy & Physiology: The Unity of form and ...
... aortic coarctation, tricuspid valve insufficiency, and mitral valve stenosis. Contrary, those with Tbx2 gene deletion have ...
... life-and-death cases of aortic aneurisms, coarctation of the aorta, and other urgent arterial repairs. To produce the ...
Left anterior thoracotomy Isolated pulmonary artery banding (PAB) Left lateral thoracotomy PAB (when coarctation or aortic arch ... "aortic translocation and biventricular outflow tract reconstruction". The repair consisted of harvesting the aortic root from ... The main thing is the repositioning of the native aortic root over to the LV cavity, avoiding the creation of a long tortuous ... Bex who introduced the possibility of aortic translocation in 1980. But Nikaidoh has put the procedure in practice in 1984. It ...
Aortic stenosis Coarctation of the aorta Treatment of this condition can be done via:[citation needed] Medications: Digoxin/ ...
... aortic coarctation MeSH C16.131.240.400.145 - arrhythmogenic right ventricular dysplasia MeSH C16.131.240.400.200 - cor ...
Described a new operative technique for coarctation of aortic with type - B aortic dissection(Journal of Thoracic and ... He has the largest experience in aortic surgery in India since he has designed and developed more than 50 surgical instruments ... Thoracic and thoraco-abdominal aortic aneurysms, mitral valve surgery and the beating heart coronary artery bypass surgery. "Dr ... Bhan, Anil; Agarwal, Saket; Sharma, Rajesh; Venugopal, Pannangipalli (1 February 2002). "Juxtaductal coarctation with type B ...
Surgery in great vessels (aortic coarctation repair, Blalock-Taussig shunt creation, closure of patent ductus arteriosus) ... Nazih Zuhdi, the Legendary Heart Surgeon, The Oklahoman, Jan 2010 Wikipedia: Coarctation of the Aorta. Coarctation is not ... Thereafter, they may choose to subspecialise in areas such as aortic surgery, adult cardiac surgery, thoracic surgery, ... "Congenital coarctation of the aorta and its surgical management". J Thorac Surg. 14: 347-361. doi:10.1016/S0096-5588(20)31801-8 ...
Aortic Coarctation Middle Aortic Syndrome (MAS) Coarctation of abdominal aorta Bradycardia Bicuspid aortic valve Acrodysostosis ...
Complex aortic root replacements have also been performed routinely. Surgical correction of extremely rare conditions (like ... Repair of Fallot's Tetralogy • PDA • Surgery for Coarctation of aorta • PA banding • Right Heart bypass in uni ventricular ... Valve replacements and repair • Surgery for aortic dissection and aneurysms. • Repair of atrial and ventricular septal defects ...
Other causes of secondary hypertension include obesity, sleep apnea, pregnancy, coarctation of the aorta, excessive eating of ... aortic aneurysms, diffuse atherosclerosis, chronic kidney disease, atrial fibrillation, cancers, leukemia and pulmonary ... Coarctation of the aorta frequently causes a decreased blood pressure in the lower extremities relative to the arms, or delayed ... coarctation of the aorta, and primary aldosteronism. As many as one in five people with resistant hypertension have primary ...
... and endovascular treatment for aortic coarctation and post-repair aneurysm in adolescents and adults. The Annals of Thoracic ... particularly to address aortic branch points near the diseased aortic segment. One example in the treatment of thoracic aortic ... 2002). "Aortic neck angulation predicts adverse outcome with endovascular abdominal aortic aneurysm repair". J Vasc Surg. 35 (3 ... The benefits of this procedure have been established in open aortic repair and suggested in endovascular aortic repair. Unlike ...
Brugada syndrome 747 Other congenital anomalies of circulatory system 747.1 Coarctation of aorta 747.11 Interruption of aortic ... stenosis congenital 746.2 Ebstein's anomaly 746.3 Congenital stenosis of aortic valve 746.4 Congenital insufficiency of aortic ...
Stenosis of Bicuspid aortic valve is like the aortic valve stenosis heart murmur. But, one may hear a systolic ejection click ... Systolic murmur loudest below the left scapula Classic for a coarctation of the aorta. Coarctation of the aorta is narrowing of ... In mild aortic stenosis, the crescendo-decrescendo is early peaking. Whereas in severe aortic stenosis, the crescendo is late- ... Hypothesis is that the mechanism of murmur is from the severe aortic regurgitation. In severe aortic regurgitation the jet ...
... coarctation of the aorta, interrupted aortic arch, hypoplastic left/right heart, subaortic membrane, mitral valve repair/ ... aortic valve replacements, mitral valve repair/mitral valve replacement tricuspid valve repair aortic root replacements atrial ... replacement, aortic valve disorders, anomalous/single coronary artery, vascular ring, extracorporeal membrane oxygenation (ECMO ...
Sen was one of the first to perform aortic surgery in the 1950s, laying the foundations at first for aortic surgery and than ... After being the first in India to perform a closed mitral valvotomy in 1952, within a year he repaired a coarctation of the ... In 1953, he repaired a coarctation of the aorta and by 1956 he had successfully attempted the first direct vision closure of an ... In the 1950s he turned his attention from aortic surgery to open heart surgery following numerous experiments on dogs. He ...
... coarctation of the aorta, critical aortic stenosis, and interrupted aortic arch). Alprostadil is sold in the United States as ...
Peripheral vascular disease; femoral artery stenosis Renal artery stenosis Stroke, carotid artery stenosis Aortic aneurysm ... Tinnitus - a symptom which may be caused by a cranial artery bruit Arteriovenous malformation Coarctation of the aorta ...
Complicated by mitral insufficiency and aortic dissection. Am J Cardiol. May 1967;19(5):749-54. [Medline]. long description at ... coarctation of the aorta, partial anomalous pulmonary venous connection, persistent left superior vena cava with unroofed ...
... coarctation of aorta, hypoplastic left heart syndrome, anomalous aortic origin of a coronary artery among others. Approximately ... Anomalous aortic origin of a coronary artery History: The Congenital Heart Surgeons Society Data Center. Caldarone CA, Williams ...
... including mitral and aortic valvular lesions and supravalvular aortic stenosis. The term parachute mitral valve stems from the ... This presents an obstruction of flow of blood from the ventricle to the aorta.[citation needed] Coarctation of the aorta which ... In either case, a variable degree of obstruction may be observed at the ventricular surface of the aortic valve. ... Coarctation of the aorta Of these four defects, supravalvular mitral membrane (SVMM) is the first to occur, and triggers the ...
... aortic regurgitation), decreased distensibility of arterial system (as seen in atherosclerosis, hypertension and coarctation of ... It's an unusual physical finding typically seen in patients with aortic valve diseases if the aortic valve does not normally ... such as aortic outflow tract obstruction, mitral stenosis, aortic arch syndrome) etc. A bounding pulse signifies high pulse ... unless there is coexisting aortic regurgitation). The delay can also be observed in supravalvar aortic stenosis. Several pulse ...
Many patients with aortic coarctation who were missed in early childhood, or with a slowly developing narrowing, are also ... As far as pediatric cardiologist Richard Ringel is concerned, aortic coarctation, a narrowing of the major artery that carries ... Currently there is no FDA-approved stent for aortic coarctation, he explains, and those most often used are biliary stents ... Outcomes of the Coarctation Of the Aorta Stent Trial (COAST) will be determined by the difference in arm-leg systolic blood ...
Coarctation of the aorta (COA) is a congenital (present at birth) heart defect involving a narrowing of the aorta. ... Most aortic coarctations are diagnosed by echocardiography.. *Cardiac catheterization. A thin, flexible tube (catheter) is ... What is coarctation of the aorta in children? Coarctation of the aorta (COA) is a heart defect that is present at birth ( ... Coarctation of the aorta is often linked to other cardiac defects. These include a bicuspid aortic valve. ...
OBJECTIVE--To examine the use of balloon angioplasty in the treatment of native adult aortic coarctation. DESIGN--Haemodynamic ... CONCLUSIONS--Balloon angioplasty could become the first line treatment for all patients with native adult aortic coarctation, ... PATIENTS--15 adult patients (with clinical, haemodynamic, and angiographic evidence of native aortic coarctation) were ... and angiographic studies to establish the diagnosis of aortic coarctation were established before carrying out the procedure in ...
Aortic valvular insufficiency and postductal aortic coarctation in the adult. Combined surgical management through median ... and to interrogate the aortic valve for pathology. Up to 40% of patients with coarctation will have a bicuspid aortic valve. ... Ascending-To-Descending Aortic Bypass For Coarctation of the Aorta. Monday, June 30, 2008 ... The diagnosis and hemodynamic significance of the aortic coarctation should be confirmed prior to surgery. Thoracic aortogram ...
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... uptake from PET/CT scans could flag sustained inflammation in patients with surgically repaired coarctation of aorta late ... Constantinos Anagnostopoulos and colleagues recently published a paper in Circulation Cardiovascular Imaging Aortic 18F- ... White arrows demonstrate areas of increased aortic 18F-FDG uptake. Global aortic 18F-FDG uptake was significantly increased in ... Representative PET/CT images of aortic 18F-FDG uptake from axial (A) and coronal (B) views in RCoA and control subjects. ...
Global Aortic Coarctation Market Information, by treatment (Balloon angioplasty, Patch aortoplasty, Subclavian flap aortoplasty ... Global Aortic coarctation Market: Aortic Coarctation is a rare inherited birth defect in which causes narrowing of aorta and ... 5 Global Aortic Coarctation Market, by treatment. 6 Global Aortic coarctation Market, by End User. 6.1 Introduction. 6.1.1 ... The global aortic coarctation market is expected to grow with CAGR of ~3.8% during the period 2016 to 2022. The Global Aortic ...
Aortic coarctation treatment trends and issues -- from neonate to adult. Review what these experts have to say. ... Although cardiologists have often ascribed aortic coarctation as a "simple" congenital heart disease, Gerald Ross Marx, MD, ... Coarctation of the aorta (CoA) is an abnormality readily apparent by the combination of upper body hypertension and weak or ... Moreover, increased morbidity and shortened life span have resulted from aneurysms at the site of coarctation repair; aneurysm ...
Aortic Arch Geometry and Exercise-Induced Hypertension in Aortic Coarctation. Enrico De Caro, Gianluca Trocchio, Attilio ... Aortic Arch Geometry and Exercise-Induced Hypertension in Aortic Coarctation. / De Caro, Enrico; Trocchio, Gianluca; Smeraldi, ... Aortic Arch Geometry and Exercise-Induced Hypertension in Aortic Coarctation. In: The American Journal of Cardiology. 2007 ; ... title = "Aortic Arch Geometry and Exercise-Induced Hypertension in Aortic Coarctation",. abstract = "Hypertension at rest or ...
Balloon angioplasty for native aortic coarctation.. Authors: Kale, P A. Lokhandwala, Y Y. Kulkarni, H L. Dalvi, B V. Sathe, S V ... We conclude that balloon angioplasty is a safe, and less invasive alternative to surgery for native aortic coarctation with ... From May 1987 to August 1990, eighteen patients underwent balloon angioplasty for native aortic coarctation. The age of the ... Balloon angioplasty for native aortic coarctation. Indian Heart Journal. 1992 Jul-Aug; 44(4): 207-11. ...
If the aortic valve is diseased but the aortic sinuses and annulus are normal, the aortic valve is replaced separately and the ... Patients with an abnormal aortic valve and aortic root require aortic-root replacement (ARR). In nonelderly patients who can ... TEE is crucial preoperatively to examine the need for aortic valve replacement. Patients with aortic stenosis or aortic ... In addition, relative aortic aneurysm size in relation to body surface area may be more important than absolute aortic size in ...
People with aortic coarctation often have a harsh-sounding murmur that can be heard underneath the left collar bone or from the ... Aortic coarctation is one of the more common heart conditions that are present at birth (congenital heart defects). This ... Aortic coarctation is more common in people with certain genetic disorders, such as Turner syndrome. ... Coarctation is often discovered during a newborns first exam or a well-baby exam. Taking the pulse in an infant is an ...
More precisely, coarctation refers to a narrowing of the lumen of a vessel producing an obstruction to flow. ... Coarctation is a term derived from the Latin coarctation, meaning a drawing or pressing together. ... Surgical Approach to Coarctation of the Aorta and Interrupted Aortic Arch. Aortic coarctation visualized by aortic angiography ... Surgical Approach to Coarctation of the Aorta and Interrupted Aortic Arch. Aortic coarctation visualized by magnetic resonance ...
Aortic Dissection in Takayasu Arteritis. Am J Med Sci. 2017 Apr. 353 (4):342-352. [QxMD MEDLINE Link]. ...
After aortic coarctation (CoA) repair, patients still suffer from cardiovascular complications. The aim of this study was to ... Carotid atherosclerosis, changes in tissue remodeling and repair in patients with aortic coarctation. ...
Coarctation of the aorta is a birth defect that causes part of your aorta to be too narrow. Learn more about diagnosis and ... Treating Coarctation of the Aorta at UVA. Aortic coarctation can be mild or severe. How we treat it depends on your age and how ... Aortic Coarctation Symptoms. Most people dont get symptoms. Mild cases arent usually diagnosed until later in life. More ... At UVA, our experts have the tools to diagnose aortic coarctation and the skills to treat it. ...
Transverse aortic coarctation. Narrowing of the transverse aortic arch.. Neuropil. A dense network of interwoven nerve fibres ... Studies in hypertensive mice with transverse aortic coarctation showed that Aβ deposits are detectable in the mouse brain as ... Assessment of cerebral blood flow in adult patients with aortic coarctation. Cardiol. Young 27, 1606-1613 (2017). ... PARP-1 (Poly[ADP-Ribose] Polymerase 1) inhibition protects from Ang II (Angiotensin II)-induced abdominal aortic aneurysm in ...
... benefit from critical CHD screening using pulse oximetry are those infants with coarctation of the aorta or interrupted aortic ...
... and post-coarctation aortic dilation(odds ratio 8.42; 95% CI 1.84-38.56; p , 0.05). Ascending and post-coarctation aortic ... Coarctation of aorta (CoA) may progressively develop aortic dilation at other site of the aorta and can lead to fatal aortic ... Predictors of aortic dilation in patients with coarctation of the aorta: evaluation with dual-source computed tomography. ... Predictors of aortic dilation in patients with coarctation of the aorta: evaluation with dual-source computed tomography ...
Aneurysm formation following stent implantation for aortic coarctation detected by multidetector computed cardiac tomography. ...
Aortic coarctation. *. Aortic dissection. *. Stroke. *. Carotid artery disease. *. Atherosclerosis. of the arms or legs ...
Balloon-expandable stents were implanted in 6 patients (mean age 19.8 +/- 5.1 years) with coarctation of the aorta (4 recurrent ... We report the immediate results and the short-term follow-up in a group of selected patients with coarctation of the aorta who ... There was no recurrence of coarctation, aortic dissection, or aneurysm formation in the patients in whom stent implantation was ... increase in the mean coarctation diameter from 9.3 +/- 1.7 to 15.6 +/- 3.1 mm (P = 0.001) with the ratio of the coarctation to ...
Effect of stenosis versus aortic stiffness on ventriculo-arterial interaction after recovery from aortic coarctation. In an ... we research the sequences of coarctation recovery in the form of long versus short aortic stiffness and residual stenosis for ... The influence of aortic stiffness versus residual variable-length stenosis on pressure and flow curves is investigated, with a ... In vivo evaluation of the effect of local aortic stenosis versus stiffness on the pressure-flow relationship via the wave- ...
Impact of Hospital Volume on Outcomes of Endovascular Stenting for Adult Aortic Coarctation. American Journal of Cardiology ... Trends of Hospitalizations in the United States from 2000 to 2012 of Patients ,60 Years With Aortic Valve Disease. American ... We hypothesized an increase in the number of hospitalizations and the economic burden associated with aortic valve disease (AVD ... Use of transcatheter endovascular stenting has been increasing in the treatment of coarctation of aorta (CoA). The present ...
Her medical history was complicated by mild aortic coarctation and a cognitive delay. She had no history of asthma or smoking ...
Check Blood Pressure while seated, in right arm (Aortic Coarctation may falsely lower BP measurement) ... Aortic Coarctation Nitroglycerin Drip Diltiazem Dopamine Cardiac Risk Management DASH Diet Hypertension in Athletes ... Aortic Stenosis Psoriasis Type 2 Diabetes Mellitus First Aid Travel Kit Microangiopathic Anemia Pulmonary Embolism Diagnosis ... Aortic Dissection Hyperaldosteronism Obesity in Children Hypothyroidism Accidental Hypothermia Glasgow-Blatchford Bleeding ...
Free-breathing thoracic CT with aortic coarctation. *Scan time: 0.28 s. *Scan length: 128 mm ...
echocardiogram - aortic coarctation. Evaluation for end-organ damage *echocardiogram - left ventricular hypertrophy ...
Descending aortic dissection post coarctation repair in a patient with Turners syndrome. Badmanaban, B., Mole, D. & Sarsam, M ... Delayed paraplegia after endovascular repair of abdominal aortic aneurysm. Reid, J. A., Mole, D. J., Johnston, L. C. & Lee, B. ...
Keywords: Acute Coronary Syndrome, Aortic Coarctation, Aortic Valve Insufficiency, Aortic Valve Stenosis, Arrhythmias, Cardiac ... Task Force 7: Aortic Diseases, Including Marfan Syndrome. Recommendations include indexing the observed aorta diameter to an ...
  • But the stent itself, along with the anatomy of the patient's aorta, occasionally can pose problems, They're at risk of fracturing, causing the formation of aneurysms and, in worst cases, life-threatening aortic dissection - bleeding along the wall of the major artery - or rupture of the aorta. (hopkinsmedicine.org)
  • Outcomes of the Coarctation Of the Aorta Stent Trial (COAST) will be determined by the difference in arm-leg systolic blood pressure over 12 months after the intervention, as well as stent-related complications like fractures. (hopkinsmedicine.org)
  • What is coarctation of the aorta in children? (childrensnational.org)
  • Coarctation of the aorta (COA) is a heart defect that is present at birth (congenital). (childrensnational.org)
  • Coarctation of the aorta is often linked to other cardiac defects. (childrensnational.org)
  • INTERVENTIONS--Percutaneous transluminal balloon angioplasty was carried out with balloon catheters diameter 2 mm less than the diameter of the aorta immediately below the left subclavian artery to minimise the possibility of tearing the aortic wall. (bmj.com)
  • Several surgical approaches have been described for the management of adult patients with acquired heart disease and paraductal coarctation of the aorta. (ctsnet.org)
  • After standard median sternotomy, the ascending aorta is completely mobilized to the aortic arch. (ctsnet.org)
  • Aortic 18F-fluorodeoxyglucose (FDG) uptake from PET/CT scans could flag sustained inflammation in patients with surgically repaired coarctation of aorta late during adult life, in the absence of risk factors for coronary artery disease. (bioacademy.gr)
  • Aortic 18F-fluorodeoxyglucose (18F-FDG) uptake by positron emission tomography/computed tomographic (PET/CT) imaging in adult patients with repaired coarctation of aorta (RCoA) and control subjects. (bioacademy.gr)
  • Aortic Coarctation is a rare inherited birth defect in which causes narrowing of aorta and which affects blood flow. (marketersmedia.com)
  • Coarctation of the aorta (CoA) is an abnormality readily apparent by the combination of upper body hypertension and weak or absent femoral pulses. (medscape.com)
  • Patients with acute aortic dissection of the ascending aorta require emergency operation. (medscape.com)
  • Patients who undergo surgery for symptomatic aortic insufficiency or stenosis with an associated enlarged aneurysmal aorta should have concomitant aortic replacement if the aorta reaches 5 cm in diameter. (medscape.com)
  • Concomitant aortic replacement should be consider for patients with bicuspid aortic valves with an aorta more than 4.5 cm in diameter. (medscape.com)
  • This is called coarctation of the aorta. (medlineplus.gov)
  • The exact cause of coarctation of the aorta is unknown. (medlineplus.gov)
  • Coarctation of the aorta can be cured with surgery. (medlineplus.gov)
  • Forty-four years after Paris provided the first accurate description of coarctation of the aorta in 1791, Legrand made the first diagnosis in a living patient in 1835. (medscape.com)
  • Coarctation is defined as a narrowing of the lumen of the aorta that obstructs flow. (medscape.com)
  • Typically located at the insertion of the ductus or ligamentum arteriosum, a localized coarctation may occur at any point along the length of the aorta. (medscape.com)
  • Complete interruption of the aorta, or interrupted aortic arch (IAA) , is a fairly rare condition. (medscape.com)
  • Coarctation of the aorta is a birth defect that causes a part of your aorta to get too narrow. (uvahealth.com)
  • If you have high blood pressure or get headaches, muscle weakness, or cold hands and feet, coarctation of the aorta could be the cause. (uvahealth.com)
  • Without treatment, coarctation of the aorta leads to life-threatening heart problems. (uvahealth.com)
  • Babies with coarctation of the aorta might show symptoms soon after birth. (uvahealth.com)
  • Coarctation of the aorta might be caused by a genetic birth defects. (uvahealth.com)
  • Coarctation of aorta (CoA) may progressively develop aortic dilation at other site of the aorta and can lead to fatal aortic diseases. (altmetric.com)
  • 315 infants with coarctation of the aorta or interrupted aortic arch. (cdc.gov)
  • Because of this, the majority of infants who can benefit from critical CHD screening using pulse oximetry are those infants with coarctation of the aorta or interrupted aortic arch, tetralogy of Fallot, and transposition of the great arteries. (cdc.gov)
  • We report the immediate results and the short-term follow-up in a group of selected patients with coarctation of the aorta who underwent endovascular stent implantation. (nih.gov)
  • Balloon-expandable stents were implanted in 6 patients (mean age 19.8 +/- 5.1 years) with coarctation of the aorta (4 recurrent and 2 native) who underwent a total of 7 procedures (6 implantation and 1 further expansion). (nih.gov)
  • These findings indicate that balloon-expandable stent implantation for coarctation of the aorta in selected patients is a safe and effective alternative approach for relieving the obstruction with a low complication rate and no recoarctation at short-term follow-up. (nih.gov)
  • Use of transcatheter endovascular stenting has been increasing in the treatment of coarctation of aorta (CoA). (ajconline.org)
  • Other situations that increase afterload include aortic stenosis (including subvalvular and supravalvular), aortic regurgitation and coarctation of the aorta. (onteenstoday.com)
  • Microvillus inclusion disease associated with coarctation of the aorta and bicuspid aortic valve. (bu.edu)
  • Accessory mitral valve associated with coarctation of the aorta and bicuspid aortic valve without left ventricular outflow tract obstruction. (doximity.com)
  • Our specialists care for patients with conditions of the thoracic aorta, including acute and chronic aortic dissections, thoracic and thoracoabdominal aortic aneurysms , Marfan syndrome and coarctation of the aorta. (massgeneral.org)
  • Defecto del nacimiento caracterizado por estrechamiento de la AORTA que puede ser de diverso grado y en cualquier punto desde el arco transverso a la bifurcación ilíaca. (bvsalud.org)
  • Late detection varied by CCHD type from 9 of 120 infants (7.5%[95%CI, 3.5%-13.8%]) with pulmonary atresia to 497 of 801 (62.0% [58.7%-65.4%]) with coarctation of the aorta. (cdc.gov)
  • The NuDEL™ Stent Delivery System is designed for the efficient and effective treatment of Coarctation of the Aorta. (bvmmedical.com)
  • Familial arterial dissections have been associated with generalized lentiginosis, coarctation of the aorta , bicuspid aortic valve , and aortic root dilatation. (medscape.com)
  • The sex distribution varied for different types of the malformation: females predominated over males in instances of right aberrant subclavian artery and if pre-stenotic A. lusoria was combined with coarctation of the aorta. (web.app)
  • These include a bicuspid aortic valve. (childrensnational.org)
  • Up to 40% of patients with coarctation will have a bicuspid aortic valve. (ctsnet.org)
  • Am J Cardiol 2012;110:1189-94), and separately addressing athletes with Marfan syndrome, bicuspid aortopathy, and family history of aortic disease. (acc.org)
  • These stents in particular, Ringel stresses, may offer the most promise for patients at risk of aortic aneurysms, dissection or rupture. (hopkinsmedicine.org)
  • There was no recurrence of coarctation, aortic dissection, or aneurysm formation in the patients in whom stent implantation was successful. (nih.gov)
  • In an animal model, we research the sequences of coarctation recovery in the form of long versus short aortic stiffness and residual stenosis for impact on vascular and cardiac hemodynamics. (ugent.be)
  • The influence of aortic stiffness versus residual variable-length stenosis on pressure and flow curves is investigated, with a specific focus on the separation of forward and backward wave variations according to amplitude and time-related characteristics. (ugent.be)
  • In addition, relative aortic aneurysm size in relation to body surface area may be more important than absolute aortic size in predicting complications. (medscape.com)
  • Aneurysm formation following stent implantation for aortic coarctation detected by multidetector computed cardiac tomography. (nih.gov)
  • Indications for surgical treatment of thoracic aortic aneurysms (TAAs) are based on size or growth rate and symptoms. (medscape.com)
  • As a surgeon, Dr. Hicks specializes in congenital aortic pathologies including aberrant subclavian arteries and aortic coarctation, thoracic and abdominal aortic aneurysms, complex lower extremity revascularization including lower extremity bypasses and stenting, and carotid endarterectomy. (abms.org)
  • Arterial cannulation is performed high in the aortic arch below the innominate artery. (ctsnet.org)
  • Recently, aortic arch geometry was reported in association with hypertension at rest in patients with successful CoA repair. (elsevier.com)
  • Aortic arch shape was defined on global geometry as normal, gothic, and crenel. (elsevier.com)
  • Regarding the shape of the aortic arch, normal geometry was present in 17 patients (41%), 9 (21%) had gothic geometry, and 15 (36%) had crenel geometry. (elsevier.com)
  • In conclusion, our results fail to show a correlation between a specific aortic arch shape and the incidence of EIH and significant AN in patients with native or residual CoA or repeat CoA. (elsevier.com)
  • Therefore, at present, the role of aortic arch geometry in identifying patients at risk of EIH is still uncertain. (elsevier.com)
  • With extreme coarctation, the entire transverse arch may be hypoplastic. (medscape.com)
  • Defined as a complete absence of a segment of the aortic arch, the description of IAA is based on the absent segment. (medscape.com)
  • Den innehåller aineen ruiskuttaminen tai suonen tukkiminen suljetusti, arteria subclavia agent into or percutaneous occlusion of arteries of aortic arch and branches Arteria subclavia är det latinska namnet på nyckelbensartären. (web.app)
  • Jan 2, 2019 The left subclavian artery branches directly from the aortic arch, whereas the right subclavian artery arises from the brachiocephalic trunk, also In this article you will find the anatomy, branches and mnemonics related to the axillary artery. (web.app)
  • Caitlin Sutherland soria in the setting of left aortic arch with aberrant right subclavian artery. (web.app)
  • Arch variants that form a heart disease, including right aortic arch with mirror image branch- ing. (web.app)
  • The Massachusetts General Hospital Thoracic Aortic Center combines the expertise of a team of clinicians from multiple disciplines and many perspectives, including specialists in cardiac, vascular and endovascular surgery, cardiology, vascular medicine, cardiac and vascular intervention, imaging and anesthesia. (massgeneral.org)
  • FE can accurately diagnose most of the cardiac anomalies though few errors remain challenging (aortic coarctation). (springeropen.com)
  • PATIENTS--15 adult patients (with clinical, haemodynamic, and angiographic evidence of native aortic coarctation) were considered for this treatment. (bmj.com)
  • IMSEAR at SEARO: Balloon angioplasty for native aortic coarctation. (who.int)
  • From May 1987 to August 1990, eighteen patients underwent balloon angioplasty for native aortic coarctation. (who.int)
  • We conclude that balloon angioplasty is a safe, and less invasive alternative to surgery for native aortic coarctation with gratifying immediate and short term results. (who.int)
  • [ 5 ] Long-term follow-up of adult patients after surgical intervention for CoA indicates ongoing risk of systemic arterial hypertension, recoarctation, and progressive aortic and/or mitral valve disease from congenital abnormalities. (medscape.com)
  • Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion. (bvsalud.org)
  • Scoliosis in patients with aortic coarctation and patent ductus arteriosus: does standard posterolateral thoracotomy play a role in the development of the lateral curve of the spine? (bvsalud.org)
  • Ascending and post-coarctation aortic diameters or dilations were both associated with the degree of coarctation. (altmetric.com)
  • Di Labbio G, Vétel J, Kadem L. Material transport in the left ventricle with aortic valve regurgitation. (concordia.ca)
  • Di Labbio G, Ben Assa E, Kadem L. Experimental Investigation of the Effect of Heart Rate on Flow in the Left Ventricle in Health and Disease-Aortic Valve Regurgitation. (concordia.ca)
  • Additional preoperative evaluation should include either transthoracic or transesophageal echocardiogram to determine ventricular function and the presence of hypertrophy, and to interrogate the aortic valve for pathology. (ctsnet.org)
  • Paravertebral analgesia in transapical transcatheter aortic valve replacement. (doximity.com)
  • Consultant since 2005 specialising in Congenital and Structural intervention, including PFO, ASD closure, coarctation stenting and stent grafting, aortic and pulmonary valve implantation. (uhbristol.nhs.uk)
  • Our surgeons have expertise in heart valve surgery, coronary artery bypass, heart transplantation, ventricular assist devices and aortic surgery. (ohsu.edu)
  • Darwish A, Di Labbio G, Saleh W, Smadi O, Kadem L. Experimental investigation of the flow downstream of a dysfunctional bileaflet mechanical aortic valve. (concordia.ca)
  • Smadi O, Garcia J, Pibarot P, Gaillard E, Hassan I, Kadem L. Accuracy of Doppler-Echocardiographic Parameters for the Detection of Aortic Bileaflet Mechanical Prosthetic Valve Dysfunction. (concordia.ca)
  • Darwish A, Di Labbio G, Saleh W, Kadem L. In vitro characterization of Lagrangian fluid transport downstream of a dysfunctional bileaflet mechanical aortic valve. (concordia.ca)
  • Stanová V, Zenses AS, Thollon L, Kadem L, Barragan P, Rieu R, Pibarot P. Effects of hemodynamic conditions and valve sizing on leaflet bending stress in self‐expanding transcatheter aortic valve: An in vitro study. (concordia.ca)
  • The pressure in the ventricles must be greater than the systemic and pulmonary pressure to open the aortic and pulmonic valves, respectively. (onteenstoday.com)
  • Balloon angioplasty of adult aortic coarctation. (bmj.com)
  • OBJECTIVE--To examine the use of balloon angioplasty in the treatment of native adult aortic coarctation. (bmj.com)
  • CONCLUSIONS--Balloon angioplasty could become the first line treatment for all patients with native adult aortic coarctation, but longer term follow up is required to validate this. (bmj.com)
  • [ 4 ] As a consequence, many subjects with coarctation are not detected until adult life. (medscape.com)
  • Bonnet was the first to categorize coarctation into infantile and adult forms, which were later revised to preductal and postductal forms. (medscape.com)
  • Increased aortic pressure, which increases the afterload on the ventricle, reduces stroke volume by increasing end-systolic volume, and leads to a secondary increase in ventricular preload. (onteenstoday.com)
  • It missed two cases of tiny muscular ventricular septal defects and one case of aortic coarctation. (springeropen.com)
  • Task Force 7: Aortic Diseases, Including Marfan Syndrome. (acc.org)
  • Although cardiologists have often ascribed aortic coarctation as a "simple" congenital heart disease, Gerald Ross Marx, MD, FACC, of Boston Children's Hospital, said "nothing could be further from the truth. (medscape.com)
  • Aortic coarctation is one of the more common heart conditions that are present at birth (congenital heart defects). (medlineplus.gov)
  • We aimed to evaluate the occurrence of aortic dilation and related predictors in patients with CoA using dual-source computed tomography (DSCT). (altmetric.com)
  • Student's t-test and Spearman correlation coefficients, univariate and multivariable logistic regression analyses were used to assess the risk factors including age, degree of narrowing and other malformations for aortic dilation. (altmetric.com)
  • By comprehensively evaluating the aortic diameters and associated malformations including collateral circulation, DSCT can aid in stratification of risk for aortic dilation in patients with CoA. (altmetric.com)
  • Diffuse long-segment coarctation, also known as tubular hypoplasia, is typically found at the aortic isthmus (ie, the segment between the left subclavian artery and the insertion of the ductus). (medscape.com)
  • Many patients with aortic coarctation who were missed in early childhood, or with a slowly developing narrowing, are also detected around adolescence, necessitating surgical repair. (hopkinsmedicine.org)
  • DESIGN--Haemodynamic and angiographic studies to establish the diagnosis of aortic coarctation were established before carrying out the procedure in all patients. (bmj.com)
  • Hypertension at rest or during effort is not uncommon in patients with aortic coarctation (CoA), even those with a successful repair or mild degree of obstruction. (elsevier.com)
  • Carotid atherosclerosis, changes in tissue remodeling and repair in patients with aortic coarctation. (scilifelab.se)
  • After aortic coarctation (CoA) repair, patients still suffer from cardiovascular complications. (scilifelab.se)
  • Established in 1999, the Thoracic Aortic Center strives to provide the best-possible patient care, educate both patients and physicians about lifelong management of thoracic aortic disease and develop new treatment options. (massgeneral.org)
  • The Thoracic Aortic Center offers the most advanced treatments available and is a complete, interdisciplinary resource for patients with the full spectrum of thoracic aortic disease. (massgeneral.org)
  • Il est donc important de faire une prise en charge rapide des patients traumatisés. (bvsalud.org)
  • To their nonplus, 17 % of their patients had positive para-aortic nodes, more than folded the status of para-aortic lymph node positivity start in the aforesaid study. (daubnet.com)
  • Elles ont un retentissement majeur d'ordre fonctionnel et morphologique, avec des complications plus ou moins graves en l'absence de traitement approprié. (bvsalud.org)
  • The diagnosis and hemodynamic significance of the aortic coarctation should be confirmed prior to surgery. (ctsnet.org)
  • [ 46 ] These guidelines have been replaced by guidelines published in 2022 by the ACC and the AHA on the diagnosis and management of aortic disease. (medscape.com)
  • Options are a staged procedure using median sternotomy and left thoracotomy, a catheter-based intervention of the coarctation combined with sternotomy, and single-stage simultaneous correction of lesions via sternotomy. (ctsnet.org)
  • Thoracic aortic diseases are unusual, complicated problems requiring complex solutions. (massgeneral.org)
  • More recently, advanced interventional cardiology techniques have led to an interest in percutaneous transluminal aortoplasty for both native coarctation and recoarctation. (medscape.com)
  • Also unique to this trial is that all participating centers have a version of this stent with a fabric covering that can be used immediately to repair an aortic wall injury discovered before the procedure or occurring as a result of the stent. (hopkinsmedicine.org)
  • Decellularized xenopericardial patch in supra-aortic vessels repair. (autotissue.de)
  • Aortic coarctation can be mild or severe. (uvahealth.com)
  • 2. Known history of secondary hypertension (moderate-to-severe obstructive sleep apnea without receiving CPAP therapy (either face mask or nasal device), renovascular hypertension, primary aldosteronism, pheochromocytoma, Cushing syndrome, aortic coarctation or other cause of secondary hypertension). (who.int)
  • As far as pediatric cardiologist Richard Ringel is concerned, aortic coarctation, a narrowing of the major artery that carries blood out of the heart, is an enemy not easy to defeat. (hopkinsmedicine.org)
  • Currently there is no FDA-approved stent for aortic coarctation, he explains, and those most often used are biliary stents designed to treat obstructions in the bile ducts. (hopkinsmedicine.org)
  • One patient had complete atresia at the site of the coarctation. (bmj.com)
  • Cite this: Percutaneous Treatment of Aortic Coarctation - Medscape - May 14, 2008. (medscape.com)
  • She is skilled in both open and endovascular surgery for the treatment of aortic and peripheral disease. (abms.org)
  • Aortic coarctation is more common in people with certain genetic disorders, such as Turner syndrome . (medlineplus.gov)
  • Coarctation rarely occurs at multiple sites, a phenomenon sometimes observed in Turner syndrome . (medscape.com)
  • Specialists begin with a thorough evaluation, which details the patient's history of prior cardiovascular disease and hypertension as well as the history of the aortic condition itself. (massgeneral.org)
  • Thoracic aortogram with pressure gradient measurement across the coarctation gives a complete and reliable assessment of the anatomy and severity of the lesion. (ctsnet.org)
  • Computerized tomography (CT) angiogram or magnetic resonance angiography (MRA) are non-invasive alternatives to define the anatomy and severity of the coarctation, and is our preference. (ctsnet.org)
  • 50%) according to the severity of coarctation. (altmetric.com)