840-6 Coarctation long-term assessment (COALA-study) incidence of restenosis and hypertension after surgical repair

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Long-term results of endovascular aortic repair for thoracic pseudoaneurysms after previous surgical coarctation repair.

OBJECTIVES Late aneurysm formation has been reported after every type of surgical coarctation repair in up to 10%, with rupture of such aneurysms being responsible for approximately 7% of all deaths. Secondary surgical repair carries a significant mortality (up to 15%) and morbidity rate (recurrent laryngeal nerve paralysis ∼20%, phrenic nerve injury ∼5%). According to the positive experience w...

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Assessment the Effect of Dexmedetomidine on Incidence of Paradoxical Hypertension After Surgical Repair of Aortic Coarctation in Pediatric Patients

OBJECTIVE The aim of the study was to assess the effect of dexmedetomidine on the incidence of paradoxical hypertension in patients undergoing aortic coarctation repair. DESIGN Randomized observational study. SETTING University hospital and cardiac center. PATIENTS The study included 108 pediatric patients with isolated aortic coarctation. METHODS The patients were classified into two g...

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Long-term follow-up after aortic coarctation repair: the unsolved issue of exercise-induced hypertension.

INTRODUCTION Despite successful repair of aortic coarctation (AC), systemic hypertension (HTN) can persist in a significant percentage of patients. Exercise-induced HTN is also common in these patients, although its clinical significance is still unclear. In this study we aimed to assess the prevalence of exercise-induced HTN in adult patients with repaired AC. METHODS We retrospectively revi...

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Mortality and restenosis rate of surgical coarctation repair in infancy: a study of 191 patients.

STUDY DESIGN This is a retrospective cross-sectional study to analyze mortality and the rate of restenosis in the follow-up of patients after surgical repair of isolated aortic coarctation in infancy. PATIENTS AND METHODS From 1974 to 2003, 191 patients underwent surgical repair of aortic coarctation in infancy. Follow-up data of 2,432 patient-years were extracted from the clinical files of o...

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Paradoxical hypertension after repair of coarctation of the aorta in children: balloon angioplasty versus surgical repair.

The incidence and possible causes of paradoxical hypertension were evaluated in eight children who underwent balloon dilatation and seven children who underwent surgical repair of coarctation of the aorta. Both procedures resulted in a significant reduction in the coarctation gradient. Both systolic and diastolic blood pressures increased in the surgical group after repair, whereas systolic pre...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2004

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(04)91652-x