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Topic: Aortic coarctation



  
 Posterior Pericardial Ascending-to-Descending Aortic Bypass: An Alternative Surgical Approach for Complex Coarctation ...
The surgical approach used in all patients was the median sternotomy.
Aortic valvular insufficiency and postductal aortic coarctation in the adult: combined surgical management through median sternotomy: a new surgical approach.
The 2 surgical approaches for patients with coarctation of the
http://circ.ahajournals.org/cgi/content/full/104/suppl_1/I-133

  
 Aortic Dissection and You
Coarctation of the aorta most often needs to be surgically corrected.
The classic presentation of an aortic dissection is the development of a sudden, severe, tearing, ripping chest pain (symptom you describe), accompanied by a changing heart murmur (sign the physician can detect).
One woman was 36 when she died of an aortic aneurysm after surgical repair of aortic stenosis.
http://www.geocities.com/pugetsoundtss/aorticdissectionandyou.html

  
 eMedicine - Aortic Coarctation : Article by Sandy Shah, DO
Bicuspid aortic valve is observed in 85% of patients.
Rebound and paradoxical hypertension is observed frequently and may be related to the baroreceptor-mediated increase in sympathetic activity and reflex vasospasm in the vascular territory distal to the coarctation.
If the patient has associated bicuspid aortic valve, an aortic ejection sound, a short midsystolic murmur, and/or early diastolic murmur of aortic regurgitation may be audible.
http://www.emedicine.com/med/topic154.htm

  
 Coarctation
The concept tended to lose credibility when Edwards and his colleagues, in a histological study of coarctations from ‘adult’ cases, showed them to be formed of fibrous rather than recognizably ductal tissue.
Important malformations occur within the heart in association with coarctation or interruption of the arch.
Instead, they promoted a concept based on inequality of flow through the aortic and pulmonary pathways during fetal life.
http://www.pediheart.org/practitioners/defects/arterial/Coarctation.htm

  
 CANADIAN ADULT CONGENITAL HEART NETWORK
Prognosis of surgically corrected coarctation of the aorta.
Aortic medial disease in the para-coarctation aorta, and in the ascending aorta if a bicuspid aortic valve is present.
Balloon dilation and/or intravascular stenting for native aortic coarctation or recoarctation can be as effective as surgical repair in relieving stenoses, with similar mortality (81-83).
http://www.cachnet.org/managing_recomp2.html

  
 Coarctation of the Aorta
This technique is similar to the classic end-to-end repair of coarctation of the aorta discussed above, but differs in that the aortic arch is incised more proximally along its lesser curvature, and the lower aorta is incised further along its posterior-lateral aspect.
The advantage of this variation is that relief of aortic arch hypoplasia is possible since the aortic arch is more widely opened, and therefore, obstruction is more readily relieved.
Associated aortic arch hypoplasia is not addressed with this technique.
http://www.chw.org/display/PPF/DocID/1361/router.asp

  
 RT Article
The aortic stenosis and coarctation could have been treated with catheter-based or surgical therapy.
This was avoided by choosing interventional catheterization to treat the aortic stenosis.
Another aspect of using ECMO for patients with CHD is consideration of the cardiac anatomy.
http://www.rtmagazine.com/Articles.ASP?articleid=R0212D03

  
 Stent implantation for aortic coarctation and recoarctation -- Magee et al. 82 (5): 600 -- Heart
Intravascular ultrasound assessment of regional aortic wall stiffness, distensibility, and compliance in patients with coarctation of the aorta.
The choice of treatment of aortic coarctation and recoarctation is between balloon dilatation or surgery using several different
Effect of introducing balloon dilation of native aortic coarctation on overall outcome in infants and children.
http://www.heartjnl.com/cgi/content/full/82/5/600

  
 Bicuspid Aortic Valve
Congenital Bicuspid Aortic Valve: Analysis of 63 Surgical Cases...
bicuspid aortic valve: assessment and follow up by...
Doctor-produced health and medical information written for you to make informed decisions about your health concerns.
http://www.cardiac-bcpa.co.uk/health/bicuspid_aortic_valve.html

  
 Cath of the Month, June 2005
It was felt that aortic valve replacement (AVR) and surgical coarctation repair would be high risk given his left ventricular function.
In general, balloon angioplasty has been proven to be safe but with some potential complications: 5%-25% incidence of recoarctation (especially in infants), paracoarctation aortic dissection or rupture and a 5%-7% incidence of aneurysm formation.
7 However, given the high success rate and the much less invasive nature, angioplasty has become an attractive alternative to surgery in the treatment of adult aortic coarctation.
http://www.acc.org/education/online/cath_month/0605/June02_05.htm

  
 Coarctation Paper Abstract
However, recent in-vitro experiments suggest the presence of this spectral Doppler pattern is as much related to the severity of coarctation as it has to do with changes in aortic compliance.
Using state of the art multidisciplinary numerical analysis tools, the purpose of this study was to investigate the specific fluid and wall mechanics present in coarctation of the aorta to further understand these relationships.
Insights into the Effect of Aortic Compliance on Doppler Diastolic Flow Patterns Seen in Coarctation of the Aorta: A Numerical Study
http://www.cora.nwra.com/~orlando/coarct-abstract.html

  
 Percutaneous Endovascular Repair of Aneurysm After Previous Coarctation Surgery -- Ince et al. 108 (24): 2967 -- ...
Predictors of aneurysmal formation after surgical correction of aortic coarctation.
Role of surgery in the management of the adult patient with coarctation of the aorta
Ala-Kulju K, Keikkinen L. Aneurysms after patch graft aortoplasty for coarctation of the aorta: long-term results of surgical management.
http://circ.ahajournals.org/cgi/content/full/108/24/2967

  
 Coarctation Of The Aorta
Corrective surgery for isolated coarctation is required and prognosis is good (before his condition induces severe systemic hypertension or degenerative changes in the aorta).
If drug therapy fails, surgery may be necessary.
For infant with CHF caused by coarctation of the aorta, treatment consist of digoxin and diuretics.
http://www.med-help.net/CoarctationOfTheAorta.html

  
 Ipsilateral Hemangioma and Aortic Arch Anomalies in Posterior Fossa Malformations, Hemangiomas, Arterial Anomalies, ...
complex anatomy of the aortic lesion before surgical repair.
were unable to clearly define the complex aortic anatomy (ie,
observed in patients with DiGeorge syndrome, the aortic anomalies
http://pediatrics.aappublications.org/cgi/content/full/113/2/412

  
 Chapter 28- Oliver W. Caminos, M.D.
There is a collateral circulation connecting the proximal and distal aspects of the vessel which will be more or less developed depending upon the relation of the coarctation with the ductus arteriosus.
The surgical treatment consists of resection of coarctation with end to end anastomosis in 90% of patients.
Systolic ejection murmurs due to aortic bicuspid valve (in 50% of these patients).
http://www.ocaminos.com/28.html

  
 Coarctation of the Aorta
Aortic coarctation may return even after successful surgery or balloon dilation.
Coarctation of the aorta usually doesn't have symptoms.
Recurrent coarctation is usually treated with nonsurgical balloon dilation or by implanting a stent using cardiac catheterization.
http://www.americanheart.org/presenter.jhtml?identifier=11069

  
 Tramadol, buy tramadol, antibiotics, Weight Loss drugs, weight loss herbs, weight loss herbal formula, weight loss, ...
BACKGROUND: We compared the outcome of lifelong treatment with the ACE inhibitor ramipril in young prehypertensive stroke-prone spontaneously hypertensive rats (SHR-SP) and age-matched normotensive Wistar-Kyoto (WKY) rats.
On the other hand, chronic ACE inhibition prevented the development of hypertension and LVH in both 129/SvEvTac and B2-KO mice given DOCA-salt or subjected to aortic coarctation, suggesting that kinins do not participate in the chronic antihypertensive and antihypertrophic effects of ACEi in these 2 models of hypertension.
However, it is controversial as to whether kinins oppose the hypertensinogenic effect of deoxycorticosterone acetate plus salt (DOCA-salt) or aortic coarctation and whether they mediate both chronic antihypertensive and cardiac antihypertrophic effects of ACEi in hypertension.
http://altace-online.biz/ref-altace/altace-research-abs2.147.html

  
 Directory of open access journals
The lack of afferent feedback from the kidneys for AVP release from the central nervous system in rats with previous renal denervation allowed ANG II to play the major role in the onset of the hypertensive response.
Angiotensin II (ANG II) and vasopressin (AVP) act together with the mechanical effect of aortic constriction in the onset of acute aortic coarctation hypertension.
As expected, a role for catecholamines was ruled out in this model of hypertension, presumably due to the inhibitory effect of the sinoaortic baroreceptors.
http://www.doaj.org/abstract?id=24122&toc=y

  
 Introduction: Aortic coarctation - WrongDiagnosis.com
Treatments for Aortic coarctation: Various information is available about treatments available for Aortic coarctation, or research treatments for other diseases.
Researching symptoms of Aortic coarctation: Further information about the symptoms of Aortic coarctation is available including a list of symptoms of Aortic coarctation, or alternatively return to research other symptoms in the symptom center.
Causes of Aortic coarctation: Research more detailed information about the causes of Aortic coarctation, other possibly hidden causes of Aortic coarctation, or other general information about Aortic coarctation.
http://www.wrongdiagnosis.com/a/aortic_coarctation/intro.htm

  
 Aortic Coarctation -- New Treatments, January 22, 2005
Coarctation occurs in about 7 percent of patients.
Aortic Coarctation -- New Treatments, January 22, 2005
Headache, epistaxis, cold extremities, and claudication with exercise may occur, and attention is usually directed to the cardiovascular system when a heart murmur or hypertension in the upper extremities and absence, marked diminution, or delayed pulsations in the femoral arteries are detected on physical examination.
http://www.ccspublishing.com/journals2a/aortic_coarctation.htm

  
 Coarctation of the Aorta
It is unusual for a patient to remain asymptomatic and not be diagnosed with coarctation of the aorta (COA) until age 51, as in this patient.
Coarctation of the aorta is the most likely diagnosis.
The short length of aortic narrowing, combined with the the patient's age and symptoms, suggests the localized or postductal type.
http://brighamrad.harvard.edu/Cases/bwh/hcache/218/full.html

  
 Healthopedia.com - Coarctation of the Aorta (Aortic Coarctation, CoA)
You are here : Healthopedia.com > Medical Encyclopedia > Diseases and Conditions > Coarctation of the Aorta
Coarctation is an abnormal narrowing in the aorta that is present at birth, causing congenital heart disease.
Those who are at higher risk for this condition include:
http://www.healthopedia.com/coarctation-of-aorta

  
 Coarctation
Coarctation of the aorta is a constricted segment of the aorta that obstructs blood flow to the body.
This procedure is done in the cardiac catheterization lab.
Coarctations typically occur as isolated defects, but may occur with a ventricular septal defect, subaortic stenosis, or complex congenital heart defects.
http://www.pediheart.org/parents/defects/CoA.htm

  
 Aortic coarctation - Wikipedia, the free encyclopedia
Arterial hypertension in the left arm with normal to low blood pressure in the right arm is classic.
Preductal coarctation: this occurs in children, with an increased risk in
Aortic coarctation is narrowing of the aorta in the area where the
http://en.wikipedia.org/wiki/Aortic_coarctation

  
 News - Thoroughness Key in Evaluating Pre-operative Patients with Cardiac Risk: Presented at ACP-ASIM
In a recommendation not supported by new or past clinical studies, Dr. Merli also urged postponement in patients whose hypertension may be the result of a pheochromocytoma, hyperaldosteronism, renal artery stenosis, or aortic coarctation.
When surgery is not emergently required, patients with mild to moderate hypertension should postpone the procedure until hypertension is under control.
http://www.docguide.com/news/content.nsf/news/498DBA09D045093A85256E83006F7751

  
 Cardiothoracic Surgery @ Essen University Med. Center, Pediatric case # 2
The coarctation site was identified by observing the pattern of pulsation in the isthmic region: the coarctation was located directly proximal to the ligamentum.
Early and late phases permit the diagnosis of: aortic coarctation and aberrant right subclavian artery.
The right subclavian artery originated just beyond the coarcation from the posterior aspect of the aorta.
http://fhs-consulting.com/cases/pedpag02.htm

  
 Coarctation
Congestive cardiac failure occurs depending on degree of coarctation and closure of ductus arteriosus
Turner's Syndrome (XO) - 20% females with coarctation
http://www.med.umn.edu/radiology/cvrad/chd/coarct.html

  
 AORTIC COARCTATION definition
most frequent cause of PVH and congestive heart failure in 2nd and 3rd weeks of life associated with, bicuspid aortic valve (50-80%), calcific aortic stenosis (due to bicuspid valve), patent ductus arteriosus or VSD (in most) see also: abdominal aortic coarctation
http://www.books.md/A/dic/aorticcoarctation.php

  
 aortic pseudo-coarctation
a/w aortic valve abnormalities (bicuspid valve, AI, AS)
http://www.mcw.edu/chorus/doc/00338.html

  
 CONGENITAL HEART DISEASE Congenital Heart Disease Tetralogy of Fallot Congenital Heart Disease Atrial Septal Defect
Treatment of Coarctation General considerations to talk to your doctor about.
What effect does coarctation of the aorta have on the cardiovascular system?
Left Ventricular Outflow Tract Obstruction and Bicuspid Aortic Valve
http://www.fortunecity.com/roswell/spells/260/congen.htm

  
 Aortic coarctation - A Medical Reference Article
A resource with information on over 10,000 medical topics including: Aortic coarctation
http://www.emphysematreatment.org/dwp/000563.htm

  
 Abdominal Aortic Coarctation due to Neurofibromatosis

Other causes of abdominal aortic coarctation include Takayasu's arteritis, fibromuscular disease, radiation-induced arteritis and William Syndrome (idiopathic hypercalceria).
Unlike atherosclerotic disease, these entities typically produce smooth, gradually tapering stenoses.
Severe diffuse narrowing of abdominal aorta with : left renal artery stenosis and aneurysm, replaced right hepatic artery and enlarged internal mammary arteries, which serve as collaterals to the lower extremities.
http://brighamrad.harvard.edu/Cases/mcr/hcache/178/full.html

  
 Heart40
Although this specimen is from an infant, this coarctation is also seen in adults.
The aortic arch is held open by a clamp and a match stick between which is seen an abrupt narrowing of the vessel.
It is a perforated septum occluding the lumen just distal to the left subclavian.
http://www.som.tulane.edu/classware/pathology/medical_pathology/McPath/GR_Heart/Heart40.html

  
 Penn State Faculty Research Expertise Database (FRED)
U.S. National Library of Medicine is the creator, maintainer, and provider of all MeSH 2004 data
Narrowing of the lumen of the aorta, caused by deformity of the aortic media.
http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D001017

  
 coarct
To see a cine MR through the coarct click here
Note the severe narrowing of the distal aortic arch on the T1 weighted MR images.
http://www1.stpaulshosp.bc.ca/stpaulsstuff/NeatcasesF2/coarct.html

  
 PATHOCARDIOLOGY II
Austin Flint murmur = soft midiastolic or presystolic bruit
interrupted aortic arch (supply lower extremity via PDA
dilation +/- calcification of ascending aorta (in aortic wall dz)
http://members.fortunecity.com/danilhammoudimd/cardio2

  
 CORNEL (1987) - AORTIC COARCTATION; PTOSIS
Features Listed For CORNEL (1987) - AORTIC COARCTATION; PTOSIS
http://www.hgmp.mrc.ac.uk/dhmhd-bin/hum-look-up?354

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