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Coarctation of the Aorta

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Using Pulse Oximetry Waveforms to Detect Coarctation of the Aorta

Matthew Sorensen, Ismail Sadiq, Gari Clifford, Kevin Maher, Matthew Oster,

<title>Abstract</title> <p> Background Coarctation of the aorta is a common form of critical congenital heart disease that remains challenging to diagnose prior to clinical deterioration. Despite current screening methods infants with coarctation may present with life threatening cardiogenic shock requiring urgent hospitalization and intervention. We sought to improve ... Read more >>

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Outcomes of aortic coarctation surgical repair in adolescents and adults.

Sungkyu Cho, Chang-Ha Lee, Eung Re Kim, Jae Hong Lim,

Coarctation of the aorta (CoA) in adolescents and adults is relatively rare. Several operative techniques have been reported, but there is no consensus. From November 1994 to July 2018, a total of 24 adolescents and adults underwent CoA repair. The mean age at operation was 29.9 ± 15.1; 19 (79%) patients were ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2020, :]

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Impact of valve morphology, hypertension and age on aortic wall properties in patients with coarctation: a two-centre cross-sectional study.

Niky Ghorbani, Vivek Muthurangu, Abbas Khushnood, Leonid Goubergrits, Sarah Nordmeyer, Joao Filipe Fernandes, Chong-Bin Lee, Kilian Runte, Sophie Roth, Stephan Schubert, Sebastian Kelle, Felix Berger, Titus Kuehne, Marcus Kelm,

OBJECTIVE:We aimed to investigate the combined effects of arterial hypertension, bicuspid aortic valve disease (BAVD) and age on the distensibility of the ascending and descending aortas in patients with aortic coarctation. DESIGN:Cross-sectional study. SETTING:The study was conducted at two university medical centres, located in Berlin and London. PARTICIPANTS:A total of ... Read more >>

BMJ Open (BMJ open)
[2020, 10(3):e034853]

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Left Ventricular Remodeling After Transcatheter Versus Surgical Therapy in Adults With Coarctation of Aorta.

Alexander C Egbe, Jason H Anderson, Naser M Ammash, Nathaniel W Taggart,

OBJECTIVES:The purpose of this retrospective cohort study was to compare remodeling of left ventricular (LV) structure and function after transcatheter stent therapy with remodeling of LV structure and function after surgical therapy for COA. BACKGROUND:Transcatheter stent therapy is as effective as surgery in producing acute hemodynamic improvement in patients with ... Read more >>

JACC Cardiovasc Imaging (JACC. Cardiovascular imaging)
[2020, :]

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Redundancy of the foramen ovale flap may mimic aortic coarctation in the fetus.

F Vena, G Donarini, C Scala, G Tuo, D Paladini,

OBJECTIVE:Aim of this study is to assess the relationships between a redundant foramen ovale flap (RFOF) - in the absence of a clearly restrictive foramen ovale - and ventricular disproportion in three group of foetuses: 1) foetuses with a final diagnosis of aortic coarctation (CoA); 2) foetuses referred for a ... Read more >>

Ultrasound Obstet Gynecol (Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology)
[2020, :]

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Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants.

Yuhao Wu, Jiashan Li, Chun Wu, Jin Zhu, Ling He, Chuan Feng, Yiting Yang, Xin Jin,

Introduction: This study aims to summarize the clinical characteristics of coarctation of the aorta (CoA) associated with intracardiac anomalies in infants. Methods: Medical records of 93 infants who were diagnosed with CoA and intracardiac anomalies from August 2009 to August 2018 were retrospectively reviewed. Results: All of the 93 infants ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:49]

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Safety and efficacy of stenting for aortic arch hypoplasia in patients with coarctation of the aorta.

E G Warmerdam, G J Krings, T A Meijs, A C Franken, B W Driesen, G T Sieswerda, F J Meijboom, P A F Doevendans, M M C Molenschot, M Voskuil,

BACKGROUND:Despite a successful repair procedure for coarctation of the aorta (CoA), up to two-thirds of patients remain hypertensive. CoA is often seen in combination with abnormal aortic arch anatomy and morphology. This might be a substrate for persistent hypertension. Therefore, we performed endovascular aortic arch stent placement in patients with CoA and ... Read more >>

Neth Heart J (Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation)
[2020, 28(3):145-152]

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Percutaneous reintervention on aortic coarctation stenting.

Manuel Pan, Soledad Ojeda, Francisco Hidalgo, Javier Suárez de Lezo, Adrián Lostalo, Francisco Mazuelos, Jose Segura, Cristina Pericet, Aurora Luque, Rafael González, Ana Fernández, Elena Gomez, Miguel Romero,

AIMS:The aim of this study was to assess the efficacy and safety of percutaneous reintervention in patients who underwent aortic coarctation stenting at an early age. METHODS AND RESULTS:From 1993 to 2018, 177 patients with aortic coarctation were treated with stent implantation at our centre; 33 of them were treated ... Read more >>

EuroIntervention (EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology)
[2020, 15(16):1464-1470]

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Risk Factors for Recoarctation and Mortality in Infants Submitted to Aortic Coarctation Repair: A Systematic Review.

Margarida Q Dias, António Barros, Adelino Leite-Moreira, Joana O Miranda,

Aortic coarctation is a common congenital heart defect that often requires correction at a young age. Currently, success is defined by the achievement of a durable repair with low morbidity and mortality. We sought to systematically review the literature on risk factors for recoarctation and mortality in infants submitted to ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, :]

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Long-Term Risk Factors for Dilatation of the Proximal Aorta in a Large Cohort of Children With Bicuspid Aortic Valve.

Samuel Blais, Léamarie Meloche-Dumas, Anne Fournier, Frederic Dallaire, Nagib Dahdah,

BACKGROUND:Patients with bicuspid aortic valve (BAV) have a higher risk of developing aortic valve dysfunction and progressive proximal aorta dilatation, which can lead to aortic dissection. To this day, identification of children at risk of developing severe aortic dilatation during their pediatric follow-up is still challenging because most studies were ... Read more >>

Circ Cardiovasc Imaging (Circulation. Cardiovascular imaging)
[2020, 13(3):e009675]

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Invasive cardiovascular magnetic resonance (iCMR) for diagnostic right and left heart catheterization using an MR-conditional guidewire and passive visualization in congenital heart disease.

Surendranath R. Veeram Reddy, Yousef Arar, Riad Abou Zahr, Vasu Gooty, Jennifer Hernandez, Amanda Potersnak, Phillip Douglas, Zachary Blair, Joshua S. Greer, Sébastien Roujol, Mari Nieves Velasco Forte, Gerald Greil, Alan W. Nugent, Tarique Hussain,

BackgroundToday’s standard of care, in the congenital heart disease (CHD) population, involves performing cardiac catheterization under x-ray fluoroscopy and cardiac magnetic resonance (CMR) imaging separately. The unique ability of CMR to provide real-time functional imaging in multiple views without ionizing radiation exposure has the potential to be a powerful tool for ... Read more >>

J Cardiovasc Magn Reson (Journal of Cardiovascular Magnetic Resonance)
[2020, 22:]

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MHCA with SACP versus DHCA in Pediatric Aortic Arch Surgery: A Comparative Study.

Ling Xie, Yan Xu, Guijin Huang, Mao Ye, Xiao Hu, Shiyu Shu, Harness Lynn,

The safety and efficacy of selective antegrade cerebral perfusion (SACP) in children undergoing aortic arch surgery are unclear. In this retrospective analysis, we compared moderate hypothermic circulatory arrest (MHCA; n = 61) plus SACP vs deep hypothermic circulatory arrest (DHCA; n = 53) in children undergoing aortic arch surgery during a period from January ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4439]

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Right Ventricular Strain Impairment in Adults and Adolescents with Repaired Aortic Coarctation.

Fabien Labombarda, Laurine Verdier, Pascale Maragnes, Paul Milliez, Farzin Beygui,

This study examines the function of the right ventricle (RV) using two-dimensional (2D) strain analysis after aortic coarctation (CoA) repair, as well as relationships between potential RV strain abnormalities and patient characteristics. The study examined 39 patients (61% male, age 32 ± 16 years) with CoA repair (33 post end-to-end anastomosis/sub-clavian flap, 6 ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, :]

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Critical Appraisal of the Indications for Intervention in Adults With Coarctation of Aorta.

Alexander C Egbe, Carole A Warnes, Heidi M Connolly,

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2020, 75(9):1089-1090]

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Heart transplantation in an infant with Williams-Beuren syndrome and rapidly progressive ischemic cardiomyopathy.

Nathanya Baez Hernandez, Richard Kirk, Ryan Davies, Jessica Roumillat, David Sutcliffe, Maria Bano, Ryan Butts,

Ischemic cardiomyopathy with resultant refractory HF may occur in patients with WBS, often as the result of coronary involvement with SVAS. The rapid development of arteriopathy at a young age raises concerns regarding transplant candidacy due to progressive stenoses at other arterial sites with potential detrimental impact on long-term heart ... Read more >>

Pediatr Transplant (Pediatric transplantation)
[2020, :e13688]

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Surveillance of Repaired Aortic Coarctation: The Quest for a Better Index of Left Ventricular Afterload.

Lasya Gaur, Shelby Kutty,

Circ Cardiovasc Imaging (Circulation. Cardiovascular imaging)
[2020, 13(2):e010426]

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Doppler-Derived Arterial Load Indices Better Reflect Left Ventricular Afterload Than Systolic Blood Pressure in Coarctation of Aorta.

Alexander C Egbe, Yogesh N V Reddy, Masaru Obokata, Barry A Borlaug,

BACKGROUND:Patients with vascular stiffening may display increased arterial afterload that is out of proportion to systolic blood pressure (SBP). Since vascular and endothelial dysfunction develop in patients with coarctation of aorta (COA), we hypothesized that for any SBP, patients with mild COA (COA peak velocity <2 m/s) will have a ... Read more >>

Circ Cardiovasc Imaging (Circulation. Cardiovascular imaging)
[2020, 13(2):e009672]

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Cardiac catheter intervention complexity and safety outcomes in adult congenital heart disease.

Margarita Brida, Gerhard Paul Diller, Heba Nashat, Rosaria Barracano, Aleksander Kempny, Anselm Uebing, Michael L Rigby, Michael A Gatzoulis,

OBJECTIVE:To describe the intervention spectrum, complexity, and safety outcomes of catheter-based interventions in a contemporary adult congenital heart disease (ACHD) tertiary cohort. METHODS:All patients over 16 years who underwent a catheter-based intervention for ACHD in our centre between 2000 and 2016 were included. Baseline demographics, clinical characteristics, indications for and complexity ... Read more >>

Heart (Heart (British Cardiac Society))
[2020, :]

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Indications for stenting of coarctation of the aorta in children under 3 months of age.

T Krasemann, I van Beynum, M Dalinghaus, W van Leuwen, A Bogers, P van de Woestijne,

INTRODUCTION:Coarctation of the aorta in children under 3 months of age is usually treated surgically. However, there are clinical scenarios in which stenting of native or recurrent coarctation may become necessary in this age group. CASE REPORTS:Four cases illustrate possible indications: left ventricular dysfunction increasing the operative risk, thrombus formation after ... Read more >>

Neth Heart J (Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation)
[2020, :]

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Early Postnatal Echocardiography in Neonates with a Prenatal Suspicion of Coarctation of the Aorta.

Trisha V Vigneswaran, Hannah R Bellsham-Revell, Henry Chubb, John M Simpson,

Coarctation of the aorta (COA) is suspected prenatally when there is ventricular asymmetry, arterial disproportion, and hypoplasia of the aortic arch/isthmus. The presence of fetal shunts creates difficulty in prenatal confirmation of the diagnosis so serial echocardiography after birth is necessary to confirm or refute the diagnosis. The first neonatal ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, :]

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Management of critical coarctation of aorta in a premature neonate with low birth weight (560 grams).

Pooja Shetty Shantharam, Chloe Joynt, Mohammed Al Aklabi,

Premature neonates with low birth weight have always posed a huge management dilemma, even for teams with great expertise. In this case report, we discuss a premature neonate born with extremely low birth weight diagnosed with critical coarctation of aorta and the challenges faced in stabilising the neonate. As per ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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[Coarctation of aorta in a neonate? It is not always what it seems: an illustrative case].

Alicia Martínez-Villasante Aleman, Camilo López Socarrás, Raquel Muñoz Muñiz, Federico Gutiérrez-Larraya Aguado, Begoña Arias Novas,

Coarctation of the aorta in neonates can manifest as heart failure when there is a certain degree of obstruction. There are some situations that can simulate a coarctation of the aorta in newborns. Diagnosis of coarctation of the aorta based solely on the typical aortic arch image on echocardiography can ... Read more >>

Arch Argent Pediatr (Archivos argentinos de pediatria)
[2020, 118(1):e67-e71]

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Rare Complex Coarctation of Aorta: Treated With Extra-Anatomic Aortic Bypass Approach.

Tao Zhang, Chen Juan, Wan Cheng Yu, Hai Zhou Zhang, Cheng Wei Zou,

Circ Cardiovasc Imaging (Circulation. Cardiovascular imaging)
[2020, 13(2):e010009]

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Determinants of Left Ventricular Diastolic Function and Exertional Symptoms in Adults With Coarctation of Aorta.

Alexander C Egbe, Muhammad Y Qureshi, Heidi M Connolly,

BACKGROUND:Coarctation of aorta (COA) results in chronic left ventricular (LV) pressure overload and subsequently leads to LV diastolic dysfunction and heart failure over time. The goal of COA intervention is to prevent these complications. The timing of COA interventions is based on the presence of these COA severity indices: doppler ... Read more >>

Circ Heart Fail (Circulation. Heart failure)
[2020, 13(2):e006651]

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Beating heart thoracic aortic surgery under selective myocardial perfusion for patients with congenital aortic anomalies.

Tai Fuchigami, Masahiko Nishioka, Yutaka Tamashiro, Nobuhiro Nagata,

OBJECTIVE:We evaluated beating heart thoracic aortic surgery (BHTAS) using selective myocardial perfusion (SMP) in patients with aortic anomalies with complex surgical needs. METHODS:Between 2012 and 2018, 27 infants with aortic anomalies underwent BHTAS using SMP. RESULTS:Median body weight was 3.5 kg (range 2.6-5.2). In total, 15 cases of aortic coarctation, 7 ... Read more >>

Gen Thorac Cardiovasc Surg (General thoracic and cardiovascular surgery)
[2020, :]

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