Management of Ascending Aortic Aneurysm Complicating Coarctation of the Aorta
| Autor: | Jacqueline A. Noonan, Ramanathan Sampath, William N. O'Connor, Edward P. Todd |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent medicine.medical_treatment Coarctation of the aorta Dissection (medical) Aortic Coarctation Aortic aneurysm Aneurysm Afterload Valve replacement Blood vessel prosthesis Internal medicine medicine.artery Ascending aorta medicine Humans cardiovascular diseases Child business.industry medicine.disease Aortic Aneurysm Blood Vessel Prosthesis Surgery Heart Valve Prosthesis Hypertension cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 34:125-131 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)60872-7 |
| Popis: | Four patients with coarctation of the aorta complicated by an aneurysm of the ascending aorta are described. One patient, treated only medically, died suddenly. For the 3 patients who underwent operation, management was similar. Pharmacological control of blood pressure and repair of the aortic coarctation to achieve anatomical reduction in afterload (stage I) were followed after an interval of one to five weeks by surgical repair of the ascending aortic aneurysm (stage II). Initial repair of the coarctation relieves proximal hypertension, thereby decreasing the chance of progressive dissection or rupture of the aneurysm. It also permits safe arterial cannulation for perfusion during correction of the aneurysm in the second stage. In patients not requiring valve replacement in stage II, continued long-term follow-up for progression of aortic valvular disease appears to be necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|