Risk Factors for Recoarctation and Mortality in Infants Submitted to Aortic Coarctation Repair: A Systematic Review

Abstract

abaixo assinado, nº mecanográfico 201405204, estudante do 6º ano do Ciclo de Estudos Integrado em Medicina, na Faculdade de Medicina da Universidade do Porto, declaro ter atuado com absoluta integridade na elaboração deste projeto de opção.Neste sentido, confirmo que NÃO incorri em plágio (ato pelo qual um indivíduo, mesmo por omissão, assume a autoria de um determinado trabalho intelectual, ou partes dele). Mais declaro que todas as frases que retirei de trabalhos anteriores pertencentes a outros autores, foram referenciadas, ou redigidas com novas palavras, tendo colocado, neste caso, a citação da fonte bibliográfica.

Isolated Coarctation of the Aorta: Current Concepts and Perspectives

“…The treatment of isolated CoA first recognized in adulthood requires additional consideration for concurrent disease that can affect aortic wall integrity, such as HTN and/or atherosclerosis, as well as other vascular risk factors including smoking, obesity, and diabetes ( 98 ). Treatment of native isolated CoA in the adult patient may utilize balloon-expandable covered stents or self-expanding covered stents ( 86 , 99 ). In contrast to the initial treatment of native CoA, balloon angioplasty rather than SI is the usual interventional treatment of recurrent isolated CoA following initial angioplasty or surgical intervention due to the low risk of aneurysm or dissection ( 100 ) while a new stent is indicated in the setting of stent fracture.…”

Editorial for “4D flow MRI for Assessment of Pediatric Coarctation of the Aorta”

“…1). 7 About 75% of CoA cases are associated with coexistent bicuspid aortic valve (BAV), thus routine screening and arch imaging are recommended 5,6 …”

“…[2][3][4] Coarctation of the aorta (CoA) is a congenital heart defect defined as a narrowing of the aortic isthmus. 5 CoA severity ranges from a complete atretic aorta to a mild focal posterior shelf-like defect (Fig. 1).…”

“…7 About 75% of CoA cases are associated with coexistent bicuspid aortic valve (BAV), thus routine screening and arch imaging are recommended. 5,6 Intervention indications include: 1) visualized significant collateral flow; 2) CoA attributed hypertension and heart failure; and 3) CoA pressure gradient ≥20 mmHg. 6 Surgical treatment options are resection with extended end-to-end anastomoses, interposition graft, ascending-to-descending aortic bypass, and/or patch aortoplasty.…”

Aortic Arch Hypoplasia in Infants: Algorithm of Diagnosis and Treatment

“…Вважається, що візуалізація і можливість мобілізації дистального відділу дуги і низхідної аорти із цього доступу обмежені, що суттєво ускладнює реконструкцію. Тому після одномоментної корекції коарктації з гіпоплазією дуги аорти в поєднанні із супутніми ВВС частота розвитку рекоарктації, за даними деяких авторів, вища, ніж після корекції її з бокової торакотомії в рамках двохетапної корекції [8]. До недоліків цієї техніки можна віднести необхідність двох послідовних хірургічних втручань, які виконуються з різних доступів.…”