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Adult Aorta With Coarctation - One Year Follow Up

Ali Yahya Abdullah Alsallami1, Khalid Ibrahim Amber2

  • 1Department of Interventional Cardiology, Medical College, University of Kufa, Iraq.

Medical Archives (Sarajevo, Bosnia and Herzegovina)
|September 6, 2021
PubMed

Insights

Uncovering stents effectively treat adult coarctation of the aorta, showing promising short-term outcomes with low mortality and morbidity rates in patients over 16.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Coarctation of the aorta (CoA) is a congenital narrowing of the aorta, often occurring below the ductus arteriosus.
  • This condition can range in severity and location, typically found near the subclavian artery origin.

Purpose of the Study:

  • To assess the mortality and morbidity associated with using uncovering stents for adult coarctation of the aorta.
  • Evaluate the short-term clinical outcomes of this treatment modality.

Main Methods:

  • A study cohort of 75 adult patients (age > 16) with coarctation of the aorta was selected between February 2018 and February 2020.
  • Patients were recruited from cardiology consultations and private clinics.

Main Results:

  • Uncovering stents were used in all patients, including two with interrupted coarctation.
  • Immediate post-stenting pressure gradients decreased to below 10 mmHg.
  • Follow-up angiography and CT scans at 6 months and 1 year showed no stent fractures or aortic aneurysms at the stent site.

Conclusions:

  • Uncovering stents demonstrate safety and efficacy in treating adult coarctation of the aorta.
  • This method is associated with reduced morbidity and mortality rates.
Abstract

Keywords:
adult congenital heart diseasecoarctation of the aortahypertensioninterventional cardiology

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