Congenital Heart Diseases in Aged Patients

Rigatelli, Gianluca; Rigatelli, Gianluca

doi:10.1097/01.crd.0000145928.08280.ef

Cited by 28 publications

(3 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abnormalities in development of pharyngeal arches and their arterial system during the embryonic period can lead to various aortic anomalies including CoA [ 1 ] . Although most of the cases are related with developmental abnormalities, autoimmune vasculitis syndromes and atherosclerotic processes may also be associated with adult onset atypical coarctation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ascending Aortic Coarctation — an Atypical Location in a Non-Takayasu Arteritis Female Patient

Oteyaka

Kuguoglu

Sarı

et al. 2023

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

Coarctation of the aorta is a well-known congenital cardiovascular disorder that typically occurs within proximity to the ductus arteriosus. The ascending aorta, distal descending aorta, and abdominal aorta are segments which are prone to development of an atypical coarctation. The etiologies of atypical cases are usually associated with various types of vasculitis syndromes or underlying genetic disorders. In this report, we present a 24-year-old female patient with an ascending aortic coarctation which developed secondary to an atherosclerotic process.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Coarctation of the aorta (CoA) is a congenital cardiovascular anomaly that typically occurs within the vicinity of the ductus arteriosus. It has a prevalence of four in 10,000 live births [ 1 , 2 ] . Most of CoA cases are congenital, and the acquired form of the disease is rare.…”

Section: Introductionmentioning

confidence: 99%

Ascending Aortic Coarctation — an Atypical Location in a Non-Takayasu Arteritis Female Patient

Oteyaka

Kuguoglu

Sarı

et al. 2023

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Previous studies have suggested excellent long-term results with reduction in arrhythmias, pulmonary hypertension, and paradoxical cerebral embolism after ASD closure at young age [1]-[2]. Over the past years, an increasing number of elderly patients (age > 60 years) have been admitted for transcatheter closure to prevent ongoing congestive heart failure from volume overload.…”

Section: Introductionmentioning

confidence: 99%

Home-made fenestrated amplatzer occluder for atrial septal defect and pulmonary arterial hypertension

Dell’Avvocata¹,

Rigatelli²,

Cardaioli³

et al. 2011

Journal of Geriatric Cardiology

View full text Add to dashboard Cite

We report the management of a patient with secundum atrial septal defect (ASD) and severe pulmonary hypertension. A 65-year-old male with recently diagnosed atrial septal defect was referred to our centre for decompensated right heart failure with rest and exercise induced dispnea and severe pulmonary hypertension. Right heart catheterization confirmed a mean pulmonary pressure of about 55 mmHg and a Qp/Qs of 2.7. An occlusion test with a compliant large balloon demonstrated partial fall of pulmonary arterial pressure. The implantation of a home-made fenestrated Amplatzer ASD Occluder (ASO) was planned in order to decrease left-to-right shunt and promote further decrease of pulmonary arterial pressure in the long-term. Thus, by means of mechanical intracardiac echocardiography study with a 9F 9 MHz UltraIce catheter (Boston Scientific Corp.), we selected a 34 mm ASO for implantation. Four millimeter fenestration was made inflating a 4 mm non-compliant coronary balloon throughout the waist of the ASO, which was successfully implanted under intracardiac echocardiography. After six months, a decrease of pulmonary arterial pressure to 24 mmHg and full compensated right heart failure was observed on transthoracic echocardiography and clinical examination. This case suggests that transcatheter closure with home-made fenestrated ASD in elderly patients with severe pulmonary hypertension is feasible.

show abstract

Patent Ductus Arteriosus

Hoffman

2009

The Natural and Unnatural History of Congenital Heart Disease

View full text Add to dashboard Cite

Congenital Heart Diseases in Aged Patients

Abstract: Patients with CHDs, especially those with low mortality in childhood, are more frequently reaching old age. New imaging techniques and endovascular treatments seem useful in the challenging management of CHDs in aged patients.

Cited by 28 publications

References 29 publications

Ascending Aortic Coarctation — an Atypical Location in a Non-Takayasu Arteritis Female Patient

Ascending Aortic Coarctation — an Atypical Location in a Non-Takayasu Arteritis Female Patient

Home-made fenestrated amplatzer occluder for atrial septal defect and pulmonary arterial hypertension

Patent Ductus Arteriosus

Contact Info

Product

Resources

About