BACKGROUND In neonates, it is challenging to diagnose aortic coarctation in the setting of a patent ductus arteriosus (PDA). Frequently, serial echocardiograms are performed, and diagnosis is delayed until the PDA closes. The purpose of this study was to identify echocardiographic predictors of neonatal coarctation in the presence of a PDA in cases in which diagnosis is uncertain. METHODS We ...

Coarctation of the aorta is a common congenital defect that may be undiagnosed until adulthood. Moreover, coarctation is associated with congenital and acquired cardiac pathology that may require surgical intervention. The management of an adult patient with aortic coarctation and an associated cardiac defect poses a great technical challenge since there are no standard guidelines for the thera...

aortic dissection occurs when a tear develops in the wall of the aorta, which is rare in the young population. this fatal disorder is hard to diagnose, especially in young patients. we present the case of aortic dissection in a 15-year-old boy referred to the emergency department of yazd university of medical sciences in november 2015. the patient presented to our department with sudden acute c...

OBJECTIVE To analyze our experience in the surgical correction of transposition of the great arteries associated with aortic arch obstruction. METHOD From January 1998 to December 2005 we performed 223 arterial switch operations for transposition of the great arteries; 21 (9.4%) patients had associated aortic arch obstruction. Aortic arch anatomy showed: localized aortic coarctation (n=10) an...

The intraluminal stent-graft placement is preferred for alleviation of symptoms as well prolonging life span adult aortic coarctation.
 We presented here the interventional treatment option a 44 years old coarctation patient with complex isthmic anatomy: long segment stenosis beginning before left subclavian artery ostia, proximal aneurysm, multilobulated aneurysm descending aort, poststen...

n the management of aortic coarctation, endovascular techniques and surgical repair have been shown to have similar short-term morbidity. 1 However, further studies have shown that, in patients with coarctation that are complex or have previously undergone surgical repair, an ascending-descending aortic bypass surgery is effective in decreasing future interventions. 2 We present postoperative f...

BACKGROUND Aortic coarctation in adults is sometimes associated with concomitant cardiovascular pathologies which require intervention. The optimal operative approach for such patients remains unsettled. An extra-anatomic aortic bypass from the ascending aorta to the descending aorta via median sternotomy allows simultaneous performance of repair of complex aortic coarctation and concomitant ca...

Background: Optimal management strategy for native aortic coarctation in neonates and young infants is a controversial issue. In this study, we compare balloon dilatation with surgery in terms of the efficacy of treating native aortic coarctation in patients less than 120 days of age. Methods: Between January 2000 and October 2006, after excluding patients with complex cardiac anomalies, we enr...

The development of a pseudoaneurysm is a rare complication following repair of a coarctation of the aorta. Surgical management of pseudoaneurysms is associated with high morbidity and mortality. We describe the successful endovascular deployment of a covered stent in a sick infant with a descending aorta pseudoaneurysm, following the repair of an aortic coarctation. We highlight the challenges ...

Angiotensin II (ANG II) and vasopressin (AVP) act together with the mechanical effect of aortic constriction in the onset of acute aortic coarctation hypertension. Blockade of ANG II and AVP V1 receptors demonstrated that ANG II acts on the prompt (5 min) rise in pressure whereas AVP is responsible for the maintenance (30-45 min) of the arterial pressure elevation during aortic coarctation. Hor...