Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

Ferreira, Eduardo Carvalho; Nina, Vinicius José da Silva; Assef, Marco Aurélio Sales; Silva, Nathalia Almeida Cardoso da; Gaspar, Shirlyne Fabianni Dias; Silva, Fernando Alberto Costa Cardoso da; Nascimento, Rozélia Sousa

doi:10.5935/1678-9741.20120014

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…In patients with re-coarctation, concomitant cardiac diseases, comorbidities increasing the risk of surgery etc., endovascular stenting can be considered as acceptable alternative to surgery [3,4] . In our practice, we routinely use LHB because of its proven superior results in many studies regarding spinal cord and visceral organs protection during the surgical treatment of thoracic and thoracoabdominal aorta, and low incindence of paraplegia -which is one of the most fearsome surgical complications [5,6,7,8] .…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Aortic Coarctation in 29-Year Old Patient

Vazhev¹,

Ivanov²,

Gonovski³

et al. 2018

KIJ

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We present a case of 29-year-old-woman diagnosed with severe coarctation of the aorta 15mm distal to the left subclavian artery. The patient was admitted in our institution, computed tomohraphy(CT) scan was performed - confirming the diagnosis. After heart team meeting discussion, decision was taken for surgical correction as the best option for the case. Cardiac surgery procedure was performed including: resection of coarctation segment and aortic prosthesis interposition using left heart bypass for optimum spinal cord and visceral organs protection. The patient was discharged on postoperative day 7 on drug therpapy with antiplatelet and dual antihypertensive therapy with β-blocker and calcium channel blocker: Aspirine, Metoprolol and Lercanidipine. At late follow-up examination one year after the surgical correction the patient was normotensive at rest, as well as after treadmill stress test using the standart Bruce protocol. Despite the established good cardiac prophylaxis on newborns, sometimes this disease can remain undiagnosed until adulthood when the complications are starting to present.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Aortic Coarctation in 29-Year Old Patient

Vazhev¹,

Ivanov²,

Gonovski³

et al. 2018

KIJ

View full text Add to dashboard Cite

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The importance of the early diagnosis of aorta coarctation

Cangussú

Lopes

Barbosa

2019

Rev. Assoc. Med. Bras.

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SUMMARY INTRODUCTION: Coarctation of the aorta is a congenital heart disease characterized by a narrowing that occurs in the aortic artery. This constriction can occur anywhere along its entire length; however, it is more common between the origin of the left subclavian artery and the ductus arteriosus. Its incidence corresponds to 3 cases per 10,000 births. Thus, it is a common cardiopathy, but with high mortality and morbidity rates, which are related to a failure in the early diagnosis. METHOD: In the research, articles of the national and international literature in Pubmed, Scielo and Lilacs databases were selected using the following descriptors: coarctation, aorta, diagnosis, heart diseases, congenital abnormalities. RESULTS: The pathophysiology of CoA and its systemic implications in the life of newborn and adults are well elucidated. However, due to the lack of habit to palpate pulses and to check the blood pressure in both upper and lower limbs during the physical examination, it is still a pathology little diagnosed in childhood. There are several techniques used in the repair of coarctation, each with their specifics, although, when not treated, aneurysms, heart failure, coronary diseases, and stroke are the main complications arising from the evolution of this pathology, which explains the low survival rate of these patients. CONCLUSION: Coarctation of the aorta is, therefore, a cardiac malformation of significant importance due to its incidence and its significant mortality risk. In this sense, the early diagnosis stands out as an essential piece for better prognosis of the patient.

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Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

Cited by 2 publications

References 19 publications

Surgical Treatment of Aortic Coarctation in 29-Year Old Patient

Surgical Treatment of Aortic Coarctation in 29-Year Old Patient

The importance of the early diagnosis of aorta coarctation

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