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aortic coartation

Michael A Krieves, Glenn R Merritt, Christopher S Nichols, Lawrence I Schwartz, David N Campbell, Jennifer L Bruny, Thomas E Fagan, Mark E Thompson, Richard J Ing
Delayed presentation of coarctation of the aorta can be associated with severe complications. A challenging case of aortoenteric fistula secondary to an aneurysm from coartation of the aorta presented with massive gastrointestinal hemorrhage. The clinical management of this patient and a review of the literature are presented.
December 2013: Seminars in Cardiothoracic and Vascular Anesthesia
M Gasparella, O Milanesi, R Biffanti, A Cerruti, M Sabatti, P G Gamba, G F Zanon
PURPOSE: to evaluate the efficacy of a right common carotid artery cutdown as alternative access in neonates and small infants requiring a balloon dilation of aortic valve stenosis. In infants, the femoral approach is limited by difficulties in advancing the catheter across the valve and by the risk of femoral artery injuries. METHODS: from January 1997 to July 2000, 16 infants at our department underwent balloon dilation through a carotid artery cutdown. Infant weight ranged from 2670 to 6450 g; mean weight 3967 g, and age ranged from 1 to 157 days, mean age 42,8 days...
October 2003: Journal of Vascular Access
E de Cillis, A S Bortone, M Traversa, M Sciascia, L de Luca Tupputi Schinosa
Aim of the study was to validate the use of endoluminal stent-graft treatment as an alternative to conventional surgery in patients affected by blunt chest trauma and aortic disruption with multiple associated lesions. We report the case of a young female admitted with diagnosis of descending thoracic aortic transection and multiple traumas following a car accident. Spiral computed tomography revealed circular disruption of thoracic aorta immediately after isthmus region with intussusception of leaflets and pseudo-coartation...
April 2005: Journal of Cardiovascular Surgery
D E Dutrey, A M Bengolea, F J Mordeglia
The clinical data of 38 patients in whom an added sound at the beginning of the ejection phase was demonstrated in the phonocardiogram, are reviewed and compared with the x-ray picture, the electrocardiogram and in 7 cases with hemodynamic studies. In 28 of these patients, the systolic click was more intense at the apex or at the aortic area, while in the other 10 cases, it was more easily detected at the pulmonary area. In the first group we found 13 patients with aortic insufficiency, 2 with aortic stenosis, 8 with arterial hypertension, 3 with marked aortic atherosclerosis, 1 cases of coartation of the aorta an 1 patient with aortic dilatation of unknown origin...
November 1965: Medicina
No abstract text is available yet for this article.
November 1963: Ohio State Medical Journal
A Dessanti, G Caccia, M Iannuccelli, G Dettori
The procedure of choice in the surgical correction of "long gap" esophageal atresia should, when possible, preserve the native esophagus. We present a modification of "the multistaged extrathoracic esophageal elongation method," designed to facilitate esophageal elongation and use of a Gore-Tex (W.L. Gore and Associates, Flagstaff, AZ) surgical membrane to minimize surgical adhesions. We used this technique to successfully treat a 1-kg infant, with type A esophageal atresia, associated aortic coartation, and severe necrotizing enterocolitis with multiple perforations...
April 2000: Journal of Pediatric Surgery
M Cotrufo, G A Nappi, A d'Angelo, M Scardone, F de Vivo
Five clinical cases were treated with the implantation of an apical-aortic conduit. Two adult patients were affected by obstructive myocardiopathy associated to subaortic membrane in one case, and three children by different forms of aortic stenosis (subaortic tunnel in one case; subaortic tunnel associated to severe coartation of the thoracic aorta in one case; aortic annulus hypoplasia in one case). A double outlet left ventricle has been created in all cases by implanting a composite prosthesis between the apex by implanting a composite prosthesis between the apex of the left ventricle and the aorta...
May 1980: International Journal of Artificial Organs
F Bacourt
An abdominal transdiaphragmatic approach of the lower part of descending aorta allows the insertion of a synthetic graft for revascularisation of the limbs and visceral arteries. The technique is described. The indications of the procedure are obstruction, coartation or aneurysms when infra renal anastomosis is impossible.
December 1982: Journal de Chirurgie
L L Sitar, V V Popov, S E Dykukha
No abstract text is available yet for this article.
November 1983: Grudnaia Khirurgiia
Y Vandeput, R Kremer
No abstract text is available yet for this article.
1974: Acta Cardiologica
D Hurtado del Río, A M Holden B
Ten years experience in newborn congenital cardiac malformations with severe hemodynamic changes is reported. The anatomic diagnosis was made at necropsy (85%) or by cardiac catheterization and angiocardiography (15%). One hundred and twenty-six cases were found in which aortic valve atresia or stenosis, tricuspid atresia, cardiac anomalies associated to visceral heterotaxy, tetralogy of Fallot, aortic coartation, endocardial cushion defect, ventricular septal defect, total anomalous pulmonary venous return and pulmonary atresia with intact ventricular septum were the most common malformations...
September 1976: Archivos del Instituto de Cardiología de México
F Gerbode
Despite the widespread recognition of coartation of the aorta there are still many patients in whome the diagnosis is not made. A simple clinical test which is useful in making the diagnosis in infants and adults, is described. It depends upon the differential color changes between fingers and toes after releasing a manual compression of feet and hands in the elevated position.
November 1976: Annals of Surgery
U Neeb, M Feyli, J Armah
The case is reported of a primigravida who was found to have a fetal bradycardia of 70 per minute. A caesarean section was done with the differential diagnosis intrauterine hypoxia or fetal arrhythmia. The infant was found to have a single ventricle, single atrium, a hypoplastic aortic arch and a coartation of the aorta. The infant died neonatally.--The case was reported to emphasize the necessity of fetal electrocardiography in continual antenatal monitoring to rule out an atrio-ventricular block prior to caesarean section...
October 1978: Geburtshilfe und Frauenheilkunde
G Locatelli, G Crupi, V Vanini, R Tiraboschi, M Villani, R Misiani, G Mecca, L Parenzan
Congestive heart failure may frequently occur in patients with isolated coarctation of the aorta within the first six months of life. Renal failure is on the contrary a very rare pathologic sequela. This is caused by a low renal blood flow related either to a poorly developed collateral circulation or in those instances of preductal coartation to an early closure of ductus arteriosus. Peritoneal dyalisis is very effective in these critically ill infants both in correcting biochemical abnormalitics and in supporting cardiac performance...
May 1978: Giornale Italiano di Cardiologia
J G Schöber, M Kellner
Three infants with preductal coartation, tubular hypoplasia of the aortic arch, and VSD were treated with Prostaglandin E1 (PGE1)-infusion to dilate the ductus arteriosus Botalli. Before PGE1-therapy the infants were treated with Furosemide and Digitalis, but they remained oliguric or anuric. During PGE1-infusion the pressure in the descending aorta rose and urine output increased significantly. Obviously the blood flow into the descending aorta via the ductus arteriosus was improved during PGE1-infusion. In all three cases surgery was successfull after PGE1-therapy...
October 1979: Monatsschrift Für Kinderheilkunde
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