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Coarctation of the abdominal aorta
1Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
Journal of Vascular Surgery
|August 1, 1988
Summary
Coarctation of the abdominal aorta is a surgically treatable cause of hypertension. Surgical treatment offers a high success rate, normalizing blood pressure in most patients and preventing fatal complications.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Vascular Surgery
Background:
- Coarctation of the abdominal aorta is a treatable cause of hypertension.
- It affects children and young adults, with diagnosis typically around age 21, and a secondary peak in the fourth to fifth decade.
- Untreated cases often lead to fatal hypertension complications by age 35.
Observation:
- Aortography is the preferred diagnostic tool.
- Visceral and renal artery stenoses occur in 26% of cases.
- 109 of 146 reported cases underwent surgical treatment with a 6.9% operative mortality.
Findings:
- Post-surgery, 96% of patients achieved normotension or easily managed blood pressure.
- Claudication is usually a minor issue.
- Hepatorenal or splenic-renal bypasses are effective initial surgical options for hypertension correction.
Implications:
- Surgical intervention for coarctation of the abdominal aorta significantly improves patient outcomes.
- Early diagnosis and treatment are crucial to prevent severe hypertension-related complications.
- Bypass procedures offer a viable solution for hypertension management in selected patients.