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Isolated aortic coarctation: experience in 100 consecutive patients.

Ana Peres1, José Diogo Ferreira Martins, Filipa Paramés

  • 1Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Lisboa, Portugal.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|April 16, 2010
PubMed
Summary

Coarctation of the aorta (CoA) is a complex condition with excellent short-term outcomes but significant long-term risks. Careful follow-up is crucial for managing hypertension and other complications in pediatric cardiology patients.

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Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Vascular Surgery

Background:

  • Coarctation of the aorta (CoA) is a congenital narrowing of the descending aorta.
  • While immediate treatment results are good, long-term complications are common.

Purpose of the Study:

  • To analyze the presentation, treatment, and long-term outcomes of 100 patients with isolated CoA.
  • To highlight the importance of early diagnosis and ongoing management.

Main Methods:

  • Retrospective analysis of 100 isolated CoA patients treated between 1987 and 2008.
  • Evaluation of clinical presentation, treatment modalities (surgical vs. percutaneous), and follow-up data.

Main Results:

  • Patients diagnosed younger than one year presented with heart failure; older patients often had hypertension.
  • Surgical repair was more common in younger patients; immediate mortality was 2% (surgical group).
  • Recoarctation occurred in 8 patients; 46 patients developed hypertension during follow-up.

Conclusions:

  • Isolated CoA requires lifelong monitoring due to significant long-term morbidity, including hypertension.
  • Early detection through physical examination and prompt treatment are vital.
  • Treatment choice depends on patient age, associated conditions, and surgical team expertise.