Coarctation of the Aorta

Coarctation of the aorta

“…Among 52 patients, Cleland et al (1956) found rib-notching, left ventricular enlargement and abnormalities of the aortic knuckle, in that order, to be the most common findings. Our findings correspond precisely, and, like Cleland, we also found that enlarged left ventricles remain larger than normal after operation.…”

“…In the past, the effects of resection of coarctation on blood pressure have been recorded either as a mean fall in measured blood pressure (Karnell, 1968;Taylor and Donald, 1960;Cleland, Counihan, Goodwin, and Steiner, 1956) or as the percentage of individuals falling into arbitrary categories representing 'normal', 'acceptable', and 'high' blood pressures (Gross, 1953;Groves and Effier,, 1960;Shumacker et al, 1968). Sellors and Hobsley (1963) were the first to use age and sex corrections.…”

A Decade of Cardiac Surgery

“…Relief of Symptoms after Excision of Coarctation Cleland et al (1956), in reporting fully on 37 patients after operation, found them all in good physical condition with recurrence of their symptoms. In 44 of my own patients, adequately followed up, I have found the same.…”

Diagnostic auscultatory complex in coarctation of the aorta.

“…In spite of numerous descriptions of the auscultatory and phonocardiographic findings in "adult" coarctation of the aorta (Reifenstein, Levine, and Gross, 1947;Wells, Rappaport, and Sprague, 1949;Brown et al, 1959;Cleland et al, 1956;Wood, 1956;Spencer, Johnston, and Meredith, 1958;Gasul, Arcilla, and Lev, 1966), no specific diagnostic auscultatory pattern has been outlined. The general conclusion has been that "auscultation is relatively unimportant in establishing the diagnosis of coarctation .…”