Prevalence and prognostic implication of restenosis or dilatation at the aortic coarctation repair site assessed by cardiovascular MRI in adult patients late after coarctation repair

Chen, S.S.M.; Dimopoulos, Konstantinos; Alonso‐Gonzalez, Rafael; Liodakis, Emmanouil; Teijeira-Fernández, Elvis; Álvarez-Barredo, María; Kempny, Aleksander; Diller, Gerhard‐Paul; Uebing, Anselm; Shore, Darryl F.; Swan, Lorna; Kilner, Philip J.; Gatzoulis, Michael Α.; Mohiaddin, Raad H.

doi:10.1016/j.ijcard.2014.02.012

Cited by 38 publications

(30 citation statements)

References 20 publications

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“…Cardiovascular reinterventions are common (25%) among patients with CoA 43. Indications for reintervention are re-CoA, aortic valve dysfunction and other cardiac malformations (ie, VSD) 43.…”

Section: Follow-upmentioning

confidence: 99%

“…Indications for reintervention are re-CoA, aortic valve dysfunction and other cardiac malformations (ie, VSD) 43. Recoarctation is seen in 4%–14% of the patients, caused by residual ductal tissue, scarring, unrelieved arch hypoplasia and intimal hyperplasia after stenting 34 43.…”

Section: Follow-upmentioning

confidence: 99%

“…Vascular complications include aortic aneurysm, hypertension, aortic root dilation, aortic and mitral valve insufficiency, premature coronary artery disease and cerebrovascular disease (figure 5). 32 42 Aortic aneurysm is defined as >150% dilation of the repair site in relation to the aorta at the level of the diaphragm and occurs with an incidence of 13% 43. Aneurysms are mostly seen after patch angioplasty and less often after BA or subclavian flap surgery 38 43…”

Section: Follow-upmentioning

confidence: 99%

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Diagnosis, imaging and clinical management of aortic coarctation

Dijkema

Leiner

Grotenhuis

2017

Heart

146

129

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Coarctation of the aorta (CoA ) is a well-known congenital heart disease (CHD) , which is often associated with several other cardiac and vascular anomalies, such as bicuspid aortic valve (BAV), ventricular septal defect, patent ductus arteriosus and aortic arch hypoplasia. Despite echocardiographic screening, prenatal diagnosis of C o A remains difficult. Most patients with CoA present in infancy with absent, delayed or reduced femoral pulses, a supine arm-leg blood pressure gradient (> 20 mm Hg), or a murmur due to rapid blood flow across the CoA or associated lesions (BAV). Transthoracic echocardiography is the primary imaging modality for suspected CoA. However, cardiac magnetic resonance imaging is the preferred advanced imaging modality for non-invasive diagnosis and follow-up of CoA. Adequate and timely diagnosis of CoA is crucial for good prognosis, as early treatment is associated with lower risks of long-term morbidity and mortality. Numerous surgical and transcatheter treatment strategies have been reported for CoA. Surgical resection is the treatment of choice in neonates, infants and young children. In older children (> 25 kg) and adults, transcatheter treatment is the treatment of choice. In the current era, patients with CoA continue to have a reduced life expectancy and an increased risk of cardiovascular sequelae later in life, despite adequate relief of the aortic stenosis. Intensive and adequate follow-up of the left ventricular function, valvular function, blood pressure and the anatomy of the heart and the aorta are , therefore, critical in the management of CoA. This review provides an overview of the current state-of-the-art clinical diagnosis, diagnostic imaging algori thms, treatment and follow-up of patients with CoA.

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Section: Follow-upmentioning

confidence: 99%

Section: Follow-upmentioning

confidence: 99%

Section: Follow-upmentioning

confidence: 99%

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Diagnosis, imaging and clinical management of aortic coarctation

Dijkema

Leiner

Grotenhuis

2017

Heart

146

129

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“…With regard to training in various ACHD subspecialties, fellows had the least experience and were the least satisfied with training in advanced imaging modalities (CT and MRI); while they recognized the importance of this training for future employment. This finding is timely and highly relevant for ACHD training programs because advanced imaging modalities have acquired a central role in patient management [8][9][10] and direct experience with MRI and CT is now considered mandatory for all ACHD specialists [3][4][5]. The results of this survey suggest that current fellows' experiences with advanced imaging modalities may fail to meet current criteria for ACHD training [3][4][5].…”

Section: To the Editormentioning

confidence: 92%

Fellows' perspectives on training in adult congenital heart disease: Results of a survey from the International Society for Adult Congenital Heart Disease (ISACHD)

Bokma

Burchill

Kovacs

et al. 2016

International Journal of Cardiology

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“…Balloon angioplasty may be also associated with a high risk of recurrence, which can be prevented by temporary implantation of a stent that may be used even in infants. 1,[33][34][35][36][37][38][39][40][41][42] Stent implantation in AC was performed for the first time in 1991 and is usually reserved for children weighing more than 20 kg. 33 Stents can be bare or covered with expanded polytetrafluoroethylene (e-PTFE) material.…”

Section: Procedural Aspectsmentioning

confidence: 99%

Interventional Treatment of Cardiac Emergencies in Children with Congenital Heart Diseases

Cinteză

Nicolescu

Filip

et al. 2019

Journal of Cardiovascular Emergencies

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Cardiac emergencies in children represent an extremely important issue in medical practice. In general, interventional treatment could be optional in many situations, however it can be indicated in emergency conditions. There are many diseases at pediatric age that can benefit from interventional treatment, thus reducing the surgical risks and subsequent complications. Balloon atrioseptostomy, patent ductus arteriosus (PDA) closure, percutaneous or hybrid closure of a ventricular septal defect, pulmonary or aortic valvuloplasty, balloon angioplasty for aortic coarctation, implantation of a stent for coarctation of the aorta, for severe stenosis of the infundibulum of the right ventricle, or for PDA correction are among the procedures that can be performed in emergency situations. This review aims to present the current state of the art in the field of pediatric interventional cardiology.

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Prevalence and prognostic implication of restenosis or dilatation at the aortic coarctation repair site assessed by cardiovascular MRI in adult patients late after coarctation repair

Cited by 38 publications

References 20 publications

Diagnosis, imaging and clinical management of aortic coarctation

Diagnosis, imaging and clinical management of aortic coarctation

Fellows' perspectives on training in adult congenital heart disease: Results of a survey from the International Society for Adult Congenital Heart Disease (ISACHD)

Interventional Treatment of Cardiac Emergencies in Children with Congenital Heart Diseases

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