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Coarctation Repair

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https://www.readbyqxmd.com/read/29153689/changes-in-echocardiographic-parameters-and-hypertensive-disorders-in-pregnancies-of-women-with-aortic-coarctation
#1
Hiroshi Sato, Chizuko A Kamiya, Masami Sawada, Chinami Horiuchi, Mitsuhiro Tsuritani, Naoko Iwanaga, Hideo Ohuchi, Isao Shiraishi, Hajime Ichikawa, Jun Yoshimatsu
OBJECTIVES: Pregnancy can be well tolerated after the repair of aortic coarctation. However, a higher incidence of hypertensive disorders during these pregnancies was reported. We analyzed the perinatal changes in echocardiographic parameters in women with aortic coarctation and investigated the risk factors of gestational hypertension (GH). METHODS: We retrospectively identified 15 pregnancies in nine Japanese women with aortic coarctation between 1982 and 2015...
October 2017: Pregnancy Hypertension
https://www.readbyqxmd.com/read/29111297/mid-term-outcomes-of-repair-of-coarctation-of-aorta-with-hypoplastic-arch-extended-end-to-side-anastomosis-technique
#2
Eung Re Kim, Woong-Han Kim, Jinhae Nam, Kwangho Choi, Woo Sung Jang, Jae Gun Kwak
OBJECTIVE: The optimal surgical repair technique for coarctation associated with aortic arch hypoplasia (CoA/AAH) in neonates and infants is controversial. This study evaluates our current strategy utilizing extended end-to-side anastomosis (EESA) under selective cerebral and myocardial perfusion (SCMP) in treating this group of patients. METHODS: Through a retrospective review, we analyzed the outcome of 87 infants who underwent surgical repair of CoA/AAH from January 2004 to December 2015...
October 27, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29079985/preserved-cardiac-blood-supply-workload-balance-in-pediatric-patients-after-aortic-arch-repair
#3
Tomoaki Murakami, Atsuhito Takeda
One of the most important problems in patients with aortic coarctation after aortic arch repair is future cardiovascular disease. We have previously reported that the enhancement of aortic pressure wave reflection in patients could be one of the causes of future cardiovascular diseases, because it results in an increase of the left ventricular workload and is disadvantageous for coronary circulation. Seventeen patients who had undergone aortic arch repair without pressure gradient in their aortic arch were enrolled...
October 27, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/29069409/initial-2-year-results-of-cardiocel%C3%A2-patch-implantation-in-children
#4
Carine Pavy, Guido Michielon, Jan Lukas Robertus, François Lacour-Gayet, Olivier Ghez
OBJECTIVES: We present the initial 2-year results of CardioCel® patch (Admedus Regen Pty Ltd, Perth, WA, Australia) implantation in paediatric patients with congenital heart diseases. METHODS: This was a single-centre retrospective study with prospectively collected data of all patients aged 18 years and under operated for congenital heart disease. The patch was introduced in 2014, with clinical practice committee approval and a special consent in case of an Ozaki procedure...
October 24, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29069351/impact-of-arch-reobstruction-and-early-hypertension-on-late-hypertension-after-coarctation-repair
#5
Melissa G Y Lee, Sarah L Allen, Jane Koleff, Johann Brink, Igor E Konstantinov, Michael M H Cheung, Christian P Brizard, Yves d'Udekem
OBJECTIVES: Late hypertension after coarctation repair is associated with high mortality, but its risk factors remain unclear. This study aims to determine early and late postoperative risk factors for late hypertension after coarctation repair. METHODS: A cross-sectional study including transthoracic echocardiogram and 24-h blood pressure (BP) monitoring was performed in 144 patients aged ≥10 years with previous coarctation repair. Median age at repair was 39 days (interquartile range 0-3 years)...
October 23, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29054236/yasui-conversion-for-repair-after-left-ventricular-outflow-tract-obstruction
#6
Satoshi Fujita, Toshihide Nakano, Shinichiro Oda, Hideaki Kado, Hisataka Yasui
We herein report two cases of progressive left ventricular outflow obstruction after primary repair of arch obstruction and ventricular septal defect that was successfully resolved with Yasui conversion. Patients who require surgical reintervention for progressive left ventricular outflow tract (LVOT) obstruction after primary biventricular repair of interruption of the aortic arch or coarctation of the aorta complex are occasionally experienced. The modified Konno procedure and Ross operation are well recognized as useful for these cases...
November 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29043396/hypertension-in-coarctation-of-the-aorta-challenges-in-diagnosis-in-children
#7
REVIEW
Trisha V Vigneswaran, Manish D Sinha, Israel Valverde, John M Simpson, Marietta Charakida
Evidence indicates that patients with coarctation of the aorta (COA) suffer from increased cardiovascular morbidity and mortality in later life despite successful repair of COA in childhood. Systolic arterial hypertension is common, presenting in up to one-third of patients, and is regarded as the main driver of premature cardiovascular events in this group of patients. In this review, we discuss the prevalence and pathophysiology of hypertension in children following successful COA repair with no residual arch obstruction...
October 17, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/29042092/quality-of-life-after-surgical-treatment-of-coarctation-in-long-term-follow-up-coafu-predictive-value-of-clinical-variables
#8
Pinar Bambul Heck, Jelena Pabst von Ohain, Harald Kaemmerer, Peter Ewert, Alfred Hager
BACKGROUND: We sought to analyze the quality of life and the predictive value of clinical variables from previous follow-up study in patients late after surgical treatment of aortic coarctation on the quality of life. METHODS: All patients, who have participated in the prospective cross-sectional COALA Study in 2000 with a structural clinical investigation including blood pressure measurement and symptom-limited exercise test were contacted for the health-related quality of life questionnaire SF-36 from January 2013 through December 2014...
October 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28977406/modified-reverse-aortoplasty-versus-extended-anastomosis-in-patients-with-coarctation-of-the-aorta-and-distal-arch-hypoplasia
#9
Ilya Soynov, Yuriy Sinelnikov, Yuriy Gorbatykh, Alexander Omelchenko, Igor Kornilov, Nataliya Nichay, Alexander Bogachev-Prokophiev, Alexander Karaskov
OBJECTIVES: The aim of our prospective randomized study was to compare modified reverse aortoplasty (MRA) and extended end-to-end anastomosis (EEA). METHODS: We have assessed the operative correction results in 54 infants with coarctation of the aorta and distal aortic arch hypoplasia who underwent primary repair in our institute between July 2013 and February 2014. All of the patients were <12 months old when they had the operation. Patients were randomly assigned to 2 arms: modified reverse subclavian flap angioplasty (MRA group; n  = 27) or extended end-to-end anastomosis (EEA group; n  = 27)...
July 25, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28966042/pregnancy-in-women-with-corrected-aortic-coarctation-uteroplacental-doppler-flow-and-pregnancy-outcome
#10
Anne S Siegmund, Marlies A M Kampman, Caterina M Bilardo, Ali Balci, Arie P J van Dijk, Martijn A Oudijk, Barbara J M Mulder, Jolien W Roos-Hesselink, Gertjan Tj Sieswerda, Steven V Koenen, Krystyna M Sollie-Szarynska, Tjark Ebels, Dirk J van Veldhuisen, Petronella G Pieper
OBJECTIVE: Women with repaired coarctation of the aorta (rCoA) are at risk of hypertensive disorders and other complications during pregnancy. Hypertensive disorders in pregnant women are associated with inadequate uteroplacental flow, which is related to adverse offspring outcome. The aim of this study was to investigate the relationship of maternal cardiac function, placental function and pregnancy complications in women with rCoA. METHODS: We included 49 pregnant women with rCoA and 69 controls from the prospective ZAHARA-studies (Zwangerschap bij Aangeboren HARtAfwijkingen, pregnancy in congenital heart disease)...
December 15, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28965732/physical-fitness-and-metabolic-syndrome-in-children-with-repaired-congenital-heart-disease-compared-with-healthy-children
#11
Mahmoud Zaqout, Kristof Vandekerckhove, Nathalie Michels, Thierry Bove, Katrien François, Daniel De Wolf
OBJECTIVE: To determine whether children who underwent surgery for congenital heart disease (CHD) are as fit as their peers. STUDY DESIGN: We studied 66 children (6-14 years) who underwent surgery for ventricular septal defect (n = 19), coarctation of aorta (n = 10), tetralogy of Fallot (n = 15), and transposition of great arteries (n = 22); and 520 healthy children (6-12 years). All children performed physical fitness tests: cardiorespiratory fitness, muscular strength, balance, flexibility, and speed...
September 28, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28958041/endovascular-treatment-of-non-dissected-ascending-aorta-disease-a-systematic-review
#12
Changtian Wang, Evelyn Regar, Mario Lachat, Ludwig K von Segesser, Francesco Maisano, Enrico Ferrari
Severe ascending aorta disease includes aneurysms, pseudoaneurysms (ascending aorta pseudoaneurysms), penetrating aortic ulcers and Type A aortic dissections. Surgical replacement of the aortic root, ascending aorta or aortic arch is the common treatment for severe ascending aortic disease involving the root, the ascending aorta and/or the arch. Despite good surgical results, there is still a risk for morbidity and mortality following surgery for ascending aorta replacement when elderly patients or patients at high risk for surgery are concerned...
September 18, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28950330/long-term-results-of-balloon-angioplasty-for-native-coarctation-of-the-aorta-in-childhood-in-comparison-with-surgery
#13
Elles J Dijkema, Gert-Jan T Sieswerda, Tim Takken, Tim Leiner, Paul H Schoof, Felix Haas, Jan L M Strengers, Martijn G Slieker
OBJECTIVES: Coarctation of the aorta (CoA) can be treated either surgically or with balloon angioplasty (BA). Long-term follow-up for either treatment has been limited. Our objective was to compare long-term results of BA and surgery for treatment of native CoA in childhood. METHODS: Retrospective cohort study of patients with native CoA treated with BA or surgery between 3 months and 16 years of age. Forty-eight patients filled out questionnaires and approved review of their medical records...
August 19, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28949265/reference-values-for-blood-pressure-response-to-cycle-ergometry-in-the-first-two-decades-of-life-comparison-with-patients-with-a-repaired-coarctation-of-the-aorta
#14
Mirna Kaafarani, Christian Schroer, Tim Takken
BACKGROUND: It is now common practice to use hemodynamic responses to exercise as markers of diagnosis for cardiac diseases in children, systolic blood pressure especially. However, the reference values for SBP in children at peak exertion level are outdated, and, without a current definition of normal, clinicians cannot determine the physiologically impaired. OBJECTIVE: This study aimed to establish current reference values for peak systolic blood pressure (SBP), rate pressure product (RPP), and circulatory power (CircP)...
September 26, 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/28947226/outcomes-of-thoracic-endovascular-aortic-repair-in-adult-coarctation-patients
#15
Salim Lala, Salvatore T Scali, Robert J Feezor, Satish Chandrekashar, Kristina A Giles, Javairiah Fatima, Scott A Berceli, Martin R Back, Thomas S Huber, Thomas M Beaver, Adam W Beck
BACKGROUND: Aortic coarctation (AC) is most commonly identified in pediatric patients; however, adults can present with late sequelae of untreated coarctation or complications of prior open repair. To date, there are limited data about the role of thoracic endovascular aortic repair (TEVAR) in this group of patients. The purpose of this analysis was to describe our experience with management of adult coarctation patients using TEVAR. METHODS: All TEVAR patients treated for primary coarctation or late sequelae of previous open repair (eg, pseudoaneurysm, recurrent coarctation or anastomotic stenosis related to index open coarctation repair) were reviewed...
September 22, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28936993/coarctation-of-the-aorta-with-aortic-arch-hypoplasia-midterm-outcomes-of-aortic-arch-reconstruction-with-autologous-pulmonary-artery-patch
#16
Zhi-Ling Ma, Jun Yan, Shou-Jun Li, Zhong-Dong Hua, Fu-Xia Yan, Xu Wang, Qiang Wang
BACKGROUND: Coarctation of the aorta (CoA) with aortic arch hypoplasia (AAH) is a relatively common congenital heart disease in clinical practice. Nonetheless, the corrective surgical technique for infants and children is a clinical problem that remains controversial. In this study, we sought to evaluate the surgical effects of aortic arch (AA) reconstruction with coarctation resection and aortoplasty with autologous pulmonary artery patch for infants and young children with CoA and AAH...
September 21, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28932592/single-stage-surgery-experience-in-a-case-of-coarctation-of-the-aorta-with-an-arch-aneurysm-combined-with-severe-coronary-artery-disease
#17
Ran Mo, Yiguang Yan, Dongjin Wang
The best surgical approach for coarctation of the aorta (COA) combined with other cardiac diseases is uncertain. The simultaneous intracardiac repair of complex pathologies is desirable because multistage procedures may lead to a higher rate of mortality. We describe a case involving a 61-year-old woman who was suffering from COA with a concomitant arch aneurysm and coronary artery disease. We managed her case via single-stage surgery that included a median sternotomy.
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28901231/single-stage-repair-of-coarctation-of-the-aorta-and-ventricular-septal-defect-a-comparison-of-surgical-strategies-and-resource-utilization
#18
Connor Callahan, David Saudek, Amanda Shillingford, Sara Creighton, Garick Hill, William Johnson, James S Tweddell, Michael E Mitchell, Ronald K Woods
BACKGROUND: We sought to compare clinical outcomes and resource utilization for two surgical approaches for single-stage repair of coarctation of the aorta and ventricular septal defect (VSD). METHODS: This was a retrospective chart review of 21 consecutive neonates and infants undergoing single-stage repair of coarctation of the aorta and VSD. Group 1 included 13 patients with both arch repair and VSD repair completed via sternotomy. Group 2 included eight patients with off-pump arch repair via left thoracotomy followed by repositioning and VSD repair via sternotomy...
September 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28843243/incidental-finding-of-intercostal-artery-aneurysm-during-coarctation-surgery
#19
Feridoun Sabzi, Fahime Ghasemi
Intercostal artery aneurysms (ICAA) are very rare vascular complication of coarctation. The most cases are asymptomatic and could be found incidentally during thoracotomy for others vascular pathology or may present with fatal problems such as rupture that is leading to bleeding and hypovolemic shock. Intercostal artery aneurysm most commonly accompanies with neurofibromatosis, aortic coarctation, or in chest trauma. We report a 10-year-old girl who complained of lower extremities pain and hypertension for a few months...
June 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28833633/staged-open-repair-for-a-complex-adult-aortic-coarctation
#20
Yusuke Misumi, Takafumi Masai, Satoshi Kainuma, Yoshiki Sawa
We describe a two-stage open repair for a complex aortic coarctation in an adult. A total arch replacement with an elephant trunk was performed via a median sternotomy followed in 10 days by a replacement of the descending aorta through a left thoracotomy.
August 2017: Journal of Cardiac Surgery
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