Surgical correction of abdominal aortic coarctation and hypertension

Surgical correction of aortic coarctation in children.

tion of the heart, and particularly of the right ventricle, when the heart is in its correct central position. If during intra-uterine life the heart is not central and during development lies to the left side, leaving the mediastinum empty, there will be no positive force to elevate the sternum, but rather a negative pressure which will suck it in. The ribs and sternum ossify early, but the co...

Predictors of aneurysmal formation after surgical correction of aortic coarctation.

OBJECTIVES We sought to identify the predictors of aneurysmal formation after surgical correction of aortic coarctation. BACKGROUND In 9% of patients, aneurysms develop late after corrective surgery of coarctation of the aorta, with a 36% mortality rate if left untreated. However, the predictors of postsurgical aneurysmal formation are unknown. METHODS Of 25 aortic aneurysms requiring corre...

Endovascular Treatment for Pseudoaneurysms after Surgical Correction of Aortic Coarctation

Late complications after surgical repair of aortic coarctation are not uncommon. Among these complications pseudoaneurysms are the most frequent complications, occurring between 3 and 38%. Reoperation in these patients is associated with high morbidity and mortality. In the last decade, endovascular techniques emerged as an alternative to conventional surgery with excellent results. We report t...

Hypoplastic aortic arch morphology pertinent to growth after surgical correction of aortic coarctation.

BACKGROUND Whether a hypoplastic transverse arch will grow after successful coarctectomy remains controversial. METHODS We studied 15 coarctation specimens with hypoplastic transverse arch. Eight patients were less than 1 month old and 7 were between 1 and 3 months. The diameter and length of the various segments of the aortic arch were measured. The number of elastin lamellae was determined ...

Abdominal aortic dissection associated with thoracic aortic coarctation