Coarctation of the aorta from fetus to adult: Curable condition or life long disease process?

Heart

Volumn 91, Issue 11, 2005, Pages 1495-1502

  Rosenthal, Eric ^a  

^a GUY S HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AORTA ANEURYSM; AORTA ARCH; AORTA COARCTATION; AORTA DISSECTING ANEURYSM; AORTA SURGERY; ARTERY CATHETERIZATION; BALLOON DILATATION; BLOOD FLOW; CLINICAL TRIAL; DISEASE COURSE; END TO END ANASTOMOSIS; END TO SIDE ANASTOMOSIS; FETUS ELECTROCARDIOGRAPHY; FETUS MONITORING; FOLLOW UP; HEART LEFT VENTRICLE FUNCTION; HUMAN; HYPERTENSION; NUCLEAR MAGNETIC RESONANCE IMAGING; POSTNATAL CARE; POSTOPERATIVE COMPLICATION; PREGNANCY; PRENATAL DIAGNOSIS; PRIORITY JOURNAL; RECURRENT DISEASE; REVIEW; SAFETY; STENT; THORAX RADIOGRAPHY; VASCULAR DISEASE;

ADOLESCENT; ADULT; AORTIC COARCTATION; CHILD; CHILD, PRESCHOOL; FEMALE; FETAL DISEASES; HUMANS; INFANT; INFANT, NEWBORN; PREGNANCY; PRENATAL DIAGNOSIS; PROGNOSIS;

EID: 27444437739     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/hrt.2004.057182     Document Type: Review

References (18)

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2. Vriend J, Zwinderman A, de Groot E, et al. Predictive value of mild, residual descending aortic narrowing for blood pressure and vascular damage in patients after repair of aortic coarctation. Eur Heart J 2005;26:84-90. Mild residual coarctation is associated with increased blood pressure and carotid intimal thickness. Should the threshold for intervention from current guidelines be lowered?
3. Head CEG, Jowett VC, Sharland GK, et al. Timing of presentation and postnatal outcome of infants suspected of having coarctation of the aorta during fetal life. Heart 2005;91:1070-4. Largest series of fetuses with suspected coarctation-the diagnosis was confirmed in one third postnatally. Coarctation was only detected late after duct closure in 7%.
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7. DiBardino DJ, Heinle JS, Kung GC, et al. Anatomic reconstruction for recurrent aortic obstruction in infants and children. Ann Thorac Surg 2004;78:926-32. Sternotomy and cardiopulmonary bypass approach to repair arch hypoplasia not addressed during initial coarctation surgery. Suggests that an initial complete repair including the arch is preferable to a local repair.
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11. Hijazi ZM. Catheter intervention for adult aortic coarctation: be very careful! Cathet Cardiovasc Intervent 2003;59:536-7. Argument for covered stents as first line treatment of coarctation/recoarctation.
12. Toro-Salazar OH, Steinberger J, Thomas W, et al. Long-term follow-up of patients after coarctation of the aorta repair. Am J Cardiol 2002;89:541-7. Results of surgery are not as favourable as anticipated: 18% Cardiovascular mortality and 35% remain hypertensive.
13. Ou P, Bonnet D, Auriacombe L, Pedroni E, et al. Late systemic hypertension and aortic arch geometry after successful repair of coarctation of the aorta. Eur Heart J 2004;25:1853-9. MRI analysis of the aortic arch long after coarctation repair and its correlation with hypertension and increased left ventricular mass. Despite adequate coarctation repair, an acutely angled aortic arch is associated with increased blood pressure.
14. Bouchart F, Dubar A, Tabley A, et al. Coarctation of the aorta in adults: surgical results and long-term follow-up. Ann Thorac Surg 2000;70:1483-8. Significant incidence of exercise induced hypertension after "satisfactory" repair of coarctation when performed in adults.
15. O'Sullivan JJ, Derrick G, Darnell R. Prevalence of hypertension in children after early repair of coarctation of the aorta: a cohort study using casual and 24-hour blood pressure measurement. Heart 2002;88:163-6. Early onset of hypertension in children with "good" results from surgical repair-need for long term follow up.
16. Oliver JM, Gallego P, Gonzalez A, et al. Risk factors for aortic complications in adults with coarctation of the aorta. J Am Coll Cardiol 2004;44:1641-7. Aneurysm incidence of 16% with two thirds in the ascending aorta. Aneurysms occurred after surgery, catheter intervention, and in untreated patients.
17. Markham LW, Knecht SK, Daniels SR, et al. Development of exercise-induced arm-leg blood pressure gradient and abnormal arterial compliance in patients with repaired coarctation of the aorta. Am J Cardiol 2004;94:1200-2. Patients with a "satisfactory" repair and normotension at rest can develop arm leg gradients up to 100 mm Hg.
18. Beauchesne L, Connolly H, Ammash N, et al. Coarctation of the aorta: outcome of pregnancy. J Am Coll Cardiol 2001;38:1728-33. Follow up of pregnancies in 50 women. Hypertension is common and related to coarctation gradients while cardiovascular complications are infrequent. Fetal outcome is good.