Late complications in patients after repair of aortic coarctation: implications for management

Survival of patients with aortic coarctation has dramatically improved after surgical repair became available and the number of patients who were operated and reach adulthood is steadily increasing. However, life expectancy is still not as normal as in unaffected peers. Cardiovascular complications...

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Bibliographic Details
Published in:International journal of cardiology 2005-06, Vol.101 (3), p.399-406
Main Authors: Vriend, Joris W.J., Mulder, Barbara J.M.
Format: Article
Language:English
Subjects:
Aortic coarctation
Aortic Coarctation - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure Monitoring, Ambulatory
Cardiac Surgical Procedures
Cardiology. Vascular system
Cardiovascular Agents - therapeutic use
Clinical management
Complications
Diseases of the aorta
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Follow-Up Studies
Humans
Hypertension
Magnetic Resonance Angiography
Medical sciences
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Reoperation
Risk Factors
Time Factors
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Summary:Survival of patients with aortic coarctation has dramatically improved after surgical repair became available and the number of patients who were operated and reach adulthood is steadily increasing. However, life expectancy is still not as normal as in unaffected peers. Cardiovascular complications are frequent and require indefinite follow-up. Concern falls chiefly in seven categories: recoarctation, aortic aneurysm formation or aortic dissection, coexisting bicuspid aortic valve, endocarditis, premature coronary atherosclerosis, cerebrovascular accidents and systemic hypertension. In this review, these complications, with particular reference to late hypertension, are discussed and strategies for the clinical management of post-coarctectomy patients are described.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2004.03.056