Morphometric Analysis of Aortic Coarctation  Determination of the Target Vessel Diameter Required to Relieve the Pressure Gradient

Takeda, Atsuhito; Murakami, Tomoaki

doi:10.1253/circj.cj-08-0286

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Thus Takeda recently proposed a novel “cross sectional area” cut-off indexed to the patients’ body surface as a possible alternative indicator of CoA severity [3]. Anyway, in the presented case, even when indexed to our patient’s body surface (2.1 m 2 ), anatomical parameters did not reach threshold for intervention indication.…”

Section: Discussionmentioning

confidence: 87%

Aortic coarctation: guidelines mismatch across the ocean

Pepe

Iacovelli

Masi

et al. 2014

J Cardiothorac Surg

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Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.

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Section: Discussionmentioning

confidence: 87%