OBJECTIVE To examine the health and lifestyle of a group of patients who had repair of coarctation of the aorta 20-44 years ago (these were the first such operations in the United Kingdom) and to see how the results would influence current management strategies. DESIGN Attempts were made to contact all patients by questionnaire. They were then requested to attend for a clinical examination. ...

OBJECTIVES To study the trend in incidence of aneurysms of the abdominal aorta in The Netherlands during the past two decades. SETTING The Dutch population from 1972 to 1992. DESIGN Analysis of all hospital admissions and deaths due to aneurysms of the abdominal aorta. OUTCOME MEASURES Age adjusted and age specific mortality and discharge rates. In-hospital mortality after surgery upon an...

Of 47 children over the age of 1 year who underwent repair of aortic coarctation during 1978-85, 22 had the operation performed with left heart bypass because the distal aortic pressure was below 50 mm Hg after the initial application of the arterial clamps. One further child had an elective left heart bypass. Satisfactory distal perfusion was achieved in all 23 patients. There were no deaths r...

A retrospective analysis of 44 cases of ruptured anaeurysm of the abdominal aorta showed that only 14 were correctly diagnosed when admitted to hospital. The diagnosis was established in the ward after admission in 14 cases, in the operating theatre in one, and at necropsy in 15. The various clinical presentations are described, since early diagnosis and operation are essential to save life. Aw...

Background Bicuspid aortic valve (BAV) is a congenital abnormality that is often associated with aortic coarctation. Evidence suggests this combination may increase the risk of secondary aortic complications compared to patients with BAV alone.[1] Altered aortic hemodynamics likely induce vascular remodeling[2] and may contribute to these complications. No study has investigated the impact of a...

over the last 50 years, significant progress has been made in the surgical repair of thoracoabdominal aortic aneurysms (taaa).   improvements in perioperative care and surgical techniques have resulted in reductions in complication and mortality rates. adjunctive use of distal aortic perfusion and cerebrospinal fluid drainage has been especially helpful, reducing the incidence of neurological d...