Coarctation of The Aorta: A Case-Series from a Tertiary Care Hospital

Abstract

Coarctation of the aorta (CoA), first described over 200 years ago, has for long been considered as a simple mechanical obstruction caused by a segmental narrowing of the aortic arch. 1 It was only in the last decades that staggering results revealed that, beyond the anatomical malformation, CoA answers for a systemic vasculopathy with irreversible effects on endothelial function, arterial stiffness and left ventricular remodeling. 2-4 As a 3

Coarctation of the Aorta: Its Importance for Pediatricians and Cardiologists

“…In a mean follow-up of 5.8 years, the most common complications were arterial hypertension (39.2%) and recoarctation (28.6%). 15 These results were similar to previous studies on surgical repair of coarctation of the aorta.…”

“…The American Heart Association statement recommends that percutaneous transcatheter interventions should be performed, whenever possible, for treatment of congenital repair, including coarctation and recoarctation, regardless of age. 14 The study by Barreto et al, 15 published in this issue, describes the outcome of 72 patients with coarctation of aorta, who underwent end-to-end anastomosis in a single center, during a 20-year follow-up. Surgery was performed at different ages (0.1-27 years).…”

Coarctation of the aorta: a misdiagnosed cause of hypertension

“…Although absence of lower limbs is commonly related to CoA in different reviews, our case-series reported that only half of patients had this finding at diagnosis. 1 Importantly, at her first visit an echocardiogram was request and the CoA diagnosis was not concluded. Of note, transthoracic echocardiography (TTE) has a diagnostic accuracy of 68%, which may be increased to 90% when a color or continuous wave spectrum doppler is performed.…”