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Short-term clinical follow-up of the treatment of aortic coarctation with a new generation of device

Popovici, Ion ; Liuba, Petru ; Surev, Artiom ; Grib, Andrei ; Abras, Marcel ; Calenici, Eugen ; Damascan, Stefan and Esanu, Andrei (2018) In Revista Romana de Cardiologie 28(2). p.160-167
Abstract
Coarctation of the aorta is a congenital heart anomaly
involving constriction of an aortic segment, associated with wall thickening of media and the formation
of overlapping infolding of neointimal tissue. For the
first time it was described by Morgagni in 1760. This
pathology represents 5% -7% of all congenital heart
diseases, with an incidence of approximately 3 cases
to 10 000 neonates1
. The typical location of the coarctation of the aorta is distal to the origin of the left
subclavian artery, yet it can be found and at the level
of the thoracic or abdominal segment. Coarctation
can be observed in isolation or associated with other
congenital heart malformations.
Patients with less severe... (More)
Coarctation of the aorta is a congenital heart anomaly
involving constriction of an aortic segment, associated with wall thickening of media and the formation
of overlapping infolding of neointimal tissue. For the
first time it was described by Morgagni in 1760. This
pathology represents 5% -7% of all congenital heart
diseases, with an incidence of approximately 3 cases
to 10 000 neonates1
. The typical location of the coarctation of the aorta is distal to the origin of the left
subclavian artery, yet it can be found and at the level
of the thoracic or abdominal segment. Coarctation
can be observed in isolation or associated with other
congenital heart malformations.
Patients with less severe coarctation are usually diagnosed later with clinical signs of high blood pressure, decreased or delayed pulse in lower limb arteries,
difference in upper and lower limb systolic pressure
and uncontrollable tension. Another common sign is
systolic murmur, more evident in the thoracic and abdominal levels5
.
Without surgery, prognosis for patients with aortic
coarctation is unfavorable. In 1970, Campbell examined autopsy results and clinical records of 465 patients with coarctation who survived one year after intervention. The mean age of death was 34 years, with
a mortality of 75% at 43 years. Causes of death include
congestive heart failure (26%), aortic rupture (21%),
bacterial endocarditis (18%) and intracranial hemorrhage (12%)8
. (Less)
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Contribution to journal
publication status
published
subject
in
Revista Romana de Cardiologie
volume
28
issue
2
pages
160 - 167
publisher
MediaMed Publicis
external identifiers
  • scopus:85108569785
ISSN
1220-658X
language
English
LU publication?
no
id
ec7580a0-6186-446f-a148-4cc04fe75160
date added to LUP
2024-07-13 09:50:40
date last changed
2024-07-15 11:59:30
@article{ec7580a0-6186-446f-a148-4cc04fe75160,
  abstract     = {{Coarctation of the aorta is a congenital heart anomaly<br/>involving constriction of an aortic segment, associated with wall thickening of media and the formation<br/>of overlapping infolding of neointimal tissue. For the<br/>first time it was described by Morgagni in 1760. This<br/>pathology represents 5% -7% of all congenital heart<br/>diseases, with an incidence of approximately 3 cases<br/>to 10 000 neonates1<br/>. The typical location of the coarctation of the aorta is distal to the origin of the left<br/>subclavian artery, yet it can be found and at the level<br/>of the thoracic or abdominal segment. Coarctation<br/>can be observed in isolation or associated with other<br/>congenital heart malformations.<br/>Patients with less severe coarctation are usually diagnosed later with clinical signs of high blood pressure, decreased or delayed pulse in lower limb arteries,<br/>difference in upper and lower limb systolic pressure<br/>and uncontrollable tension. Another common sign is<br/>systolic murmur, more evident in the thoracic and abdominal levels5<br/>.<br/>Without surgery, prognosis for patients with aortic<br/>coarctation is unfavorable. In 1970, Campbell examined autopsy results and clinical records of 465 patients with coarctation who survived one year after intervention. The mean age of death was 34 years, with<br/>a mortality of 75% at 43 years. Causes of death include<br/>congestive heart failure (26%), aortic rupture (21%),<br/>bacterial endocarditis (18%) and intracranial hemorrhage (12%)8<br/>.}},
  author       = {{Popovici, Ion and Liuba, Petru and Surev, Artiom and Grib, Andrei and Abras, Marcel and Calenici, Eugen and Damascan, Stefan and Esanu, Andrei}},
  issn         = {{1220-658X}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{160--167}},
  publisher    = {{MediaMed Publicis}},
  series       = {{Revista Romana de Cardiologie}},
  title        = {{Short-term clinical follow-up of the treatment of aortic coarctation with a new generation of device}},
  volume       = {{28}},
  year         = {{2018}},
}