Twenty-two years of follow-up results of balloon angioplasty for discreet native coarctation of the aorta in adolescents and adults
| Autor: | Amr Badr, Gamal H. Mohamed, Bruce Dunn, Adil Osman, Mohamed Fawzy, Ahmed Fathala, Mohammed Adel Mostafa |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Coarctation of the aorta Doppler echocardiography Balloon Aortic Coarctation Young Adult Aneurysm Restenosis Internal medicine Angioplasty medicine Humans Cardiac catheterization medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Cardiology Female Cardiology and Cardiovascular Medicine business Angioplasty Balloon Follow-Up Studies |
| Zdroj: | American heart journal. 156(5) |
| ISSN: | 1097-6744 |
| Popis: | Although the immediate and intermediate-term results of balloon angioplasty (BA) for patients with aortic coarctation (AC) have been encouraging, there is paucity of data on long-term follow-up results. This study evaluated the long-term (up to 22 years) follow-up results of BA in adolescent and adult patients with discrete (shelf-like) coarctation of the aorta.Follow-up data of 58 patients (mean age 24+/-9 years) undergoing BA for discrete AC at median interval of 13.4 years including cardiac catheterization, magnetic resonance imaging, and Doppler echocardiography form the basis of this study.No early deaths occurred. Balloon angioplasty produced immediate reduction in peak AC gradient from 60+/-22 mm Hg to 8.5+/-8 mm Hg (P.0001). Follow-up catheterization 12 months later revealed a residual gradient of 5+/-6.4 mm Hg (P=.01). Five patients (8%) with suboptimal initial outcome (peak gradient20 mm Hg) developed restenosis, and 4 of these had successful repeat angioplasty. Aneurysm developed at the site of dilatation in 4 patients (7%). Magnetic resonance imaging follow-up results revealed no new aneurysm. In one patient, the aneurysm increased in size, but no recoarctation or appreciable changes in the Doppler gradient across the AC site was noted. The blood pressure had normalized without medical treatment in 29 (50%) of the 58 patients.Long-term results of BA for discrete AC are excellent and should be considered as first option for treatment of this disease. |
| Databáze: | OpenAIRE |
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