The Management of Aortic Coarctation Associated with Hypoplastic Arches and Particular Arch Anatomies: A Literature Review.
Irina-Maria MargarintTammam YoussefMircea RobuIulian RotaruAlexandru PopescuOlguta UntaruCristina FilipOvidiu ȘtiruVlad Anton IliescuEmilia Maria VladareanuPublished in: Journal of personalized medicine (2024)
The surgical management of aortic coarctation in newborns needs to ensure postoperative evolution and long-term results as much as possible. Patients with a Gothic arch have a higher rate of postoperative hypertension, while newborns with a bovine arch have higher rates of restenosis and, thus, an additional risk of mortality. Late hypertension, even in anatomically successfully repaired patients, confers a high risk for cardiovascular events. This review of the literature focuses on the management of aortic coarctations associated with hypoplastic arch and particular arch anatomies, focusing on surgical techniques and their outcomes.
Keyphrases
- aortic dissection
- cardiovascular events
- blood pressure
- aortic valve
- end stage renal disease
- coronary artery disease
- patients undergoing
- left ventricular
- cardiovascular disease
- pregnant women
- pulmonary artery
- arterial hypertension
- ejection fraction
- newly diagnosed
- chronic kidney disease
- gestational age
- risk factors
- prognostic factors
- peritoneal dialysis
- case report
- cord blood
- low birth weight
- metabolic syndrome
- type diabetes
- preterm infants
- patient reported outcomes
- coronary artery
- weight loss
- preterm birth
- patient reported
- glycemic control