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[Surgical treatment of atypical aortic coarctation -- long-term results]

Csaba Dzsinich1, László Entz2, Péter Berek1

  • 1Szív-, Ér- és Mellkas-sebészeti Osztály, HM Egészségügyi Központ Budapest, Róbert Károly krt. 44., 1134.

Orvosi Hetilap
|June 21, 2016
PubMed

Insights

Atypical aortic coarctation, a rare congenital heart defect, can be successfully treated with surgery, leading to good long-term outcomes. Children may require reintervention due to growth.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Aortic coarctation is a common congenital cardiovascular disorder, typically affecting the isthmic region.
  • Atypical aortic coarctation occurs in approximately 1% of cases, often presenting with severe hypertension.
  • This study focuses on diagnostic and surgical management of atypical aortic coarctation over 35 years.

Observation:

  • Diagnostic advancements include computed tomography angiography and magnetic resonance angiography.
  • Surgical interventions involved diverse approaches, with some cases managed using endovascular techniques.
  • The study analyzed 27 patients with atypical aortic coarctation.

Findings:

  • All patients experienced reduced hypertension post-surgery, with no perioperative mortality.
  • Reintervention was necessary for pediatric patients due to somatic growth and changing body dimensions.
  • Surgical treatment demonstrated favorable early and late outcomes for atypical aortic coarctation.

Implications:

  • Atypical aortic coarctation is surgically manageable with positive long-term results.
  • Monitoring somatic growth in children is crucial for determining the need for surgical revision.
  • Advances in diagnostic imaging and surgical techniques have improved treatment efficacy.
Abstract

Keywords:
atypical aortic coarctationatípusos aortacoarctatiokésői eredményeklong-term resultssebészi kezeléssurgical treatment

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