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Aortic Coarctation With Type B Aortic Dissection: A Systematic Review and Report of 2 Cases
Mauricio Gonzalez-Urquijo1, Leopoldo Marine1, Jose Francisco Vargas1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
This review analyzes aortic coarctation (CoA) with type B aortic dissection (TBAD), finding both open and endovascular repairs effective with low complications. Long-term outcomes for these rare combined conditions require further study.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Aortic coarctation (CoA) is a congenital narrowing of the aorta.
- Type B aortic dissection (TBAD) involves a tear in the descending aorta.
- Concomitant CoA and TBAD is a rare and complex clinical scenario.
Purpose of the Study:
- To systematically review existing literature on patients with aortic coarctation and type B aortic dissection.
- To report on two additional cases of this combined condition.
- To provide comprehensive data on demographics, treatment, and outcomes.
Main Methods:
- Systematic literature search following PRISMA guidelines up to May 2024.
- Inclusion of English articles and abstracts using relevant Mesh terms.
- Analysis of 22 cases, including 19 from literature and 2 from the authors' experience.
Main Results:
- Median patient age was 39 years, with 81.8% males.
- Open surgery (63.6%) and endovascular repair (22.7%) were common treatments.
- Low complication (9%) and zero mortality rates were observed, with a median follow-up of 11.5 months.
Conclusions:
- Both open and endovascular surgical approaches are effective for treating concomitant CoA and TBAD.
- The pathophysiology of this combined condition remains unclear.
- Further research is needed to define long-term outcomes and durability of treatments.
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