Coarctation of the aorta in an adult patient case report and review of the literature
Year 2024,
Volume: 4 Issue: 2, 78 - 82, 22.08.2024
Duygu Durmaz
,
Ülkü Açıksöz
,
Hayrettin Tekümit
Abstract
Coarctation of the aorta is a congenital heart disease defined as a segmental narrowing of the aorta distal to the left subclavian artery. The condition is usually diagnosed in childhood and rarely in adulthood. Severe coarctation causes high mortality and heart failure in childhood, whereas adult coarctation is usually asymptomatic. The most common clinical manifestation in adults is systemic hypertension. Coarctation of the aorta is a rare cause of secondary hypertension and can lead to early death if not treated appropriately. In this case report, we present a 39-year-old woman with refractory hypertension who was diagnosed with coarctation of the aorta by echocardiography and computed tomography and underwent successful primary stent implantation.
Ethical Statement
Metin olgu sunumu türünde olduğu için etik izin alınmamıştır ancak hastadan yazılı onam formu alınmıştır.
Supporting Institution
Destekleyen bir kuruluş yoktur
References
- Carlsson Duran NE, Korkmaz Y, Kurt FB, Yılmazer SM, Cingözbay BY. Aort koarktasyonu. Maltepe tıp derg. 2014;6(3):1-5.
- Bonnet LM. Sur la lesion dite stenose congenitale de l’aorte dans la region de l’isthme. RevMed (Paris)1903; 23: 108.
- Campbell M. Natural history of coarctation of the aorta.Heart 1970;32: 633-640.
- Marelli A, Beauchesne L, Colman J, et al. (2022) Canadian Cardiovascular Society 2022 guidelines for cardiovascular interventions in adults with congenital heart disease. Canadian Journal of Cardiology, 38(7), 862-896
- Cramer JW, Bartz PJ, Simpson PM, Zangwill SD. (2014). The spectrum of congenitalheartdiseaseandoutcomesaftersurgicalrepairamongchildrenwithTurnersyndrome: a single-centerreview. Pediatric cardiology, 35, 253-260.
- Wessels MW, Berger RM, Frohn‐Mulder IM, et al. Autosomal dominant in heritance of left ventricular out flow tract obstruction. American Journal of Medical Genetics. Part A. 2005;134A(2):171-179
- Johnson D, Perrault H, Vobecky SJ, et al. Resetting of the cardiopulmonary baroreflex 10 years after surgical repair of coarctation of the aorta. Heart. 2001;85(3):318-325
- de Divitiis M, Pilla C, Kattenhorn M, et al. Vascular dysfunction after repair of coarctation of the aorta: Impact of early surgery. Circulation. 2001;104(Suppl 1):I-165-I-170
- Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC guidelines for the management of grown-up congenital heart disease (newversion 2010). EurHeart J2010;31:2915-57.
- Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. Journal of ThoracicSurgery1945;14:347.
- O’Laughlin MP, Perry SB, Lock JE, Mullins CE.Use of endovascular stents in congenital heart disease. Circulation1991;83:1923-1939.
- Mendelsohn AM, Lloyd TR, Crowley DC, Sandhu SK, Kocis KC, Beekman RH 3rd. Late follow-up of balloon angioplasty in children with a native coarctation of the aorta. The American journal of cardiology, 1994;74:696-700.
- Walhout RJ, Suttorp MJ, Mackaij GJ, Ernst JMPG, Plokker HWM. Long-term out come after balloon angioplasty of coarctation of the aorta in adolescents and adults: Is aneurysm formation an issue? Catheterization and cardiovascular interventions: official journal of the Society for Cardiac Angiography&Interventions. 2009;73(4):549-556.
- Forbes TJ, Garekar S, Amin Z, et al. Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: a multi-institutional study. Catheterization and cardiovascular interventions, 2007;70:276-285.
- Brown ML, Burkhart HM, Connolly HM, et al. Schaff Coarctation of the aorta: life long surveillance is mandatory following surgical repair. Journal of the American College of Cardiology. 2013;62:1020-1025.
Erişkin hastada aort koarktasyonu olgu sunumu ve literatürün gözden geçirilmesi
Year 2024,
Volume: 4 Issue: 2, 78 - 82, 22.08.2024
Duygu Durmaz
,
Ülkü Açıksöz
,
Hayrettin Tekümit
Abstract
Aort koarktasyonu sıklıkla sol subklavian arterin distalinde aortun segmental daralması olarak tanımlanan, konjenital kalp defektlerinde %8-10 oranında görülen, izole veya diğer kardiyak defektlerle birlikte olabilen bir konjenital kalp hastalığıdır. Aortikelastisite anormallikleri ile karakterize geniş yayılımlı bir arteriyopati olarak da tanımlanmaktadır. Durum genellikle çocukluk çağında ve nadiren yetişkinlikte teşhis edilir. Yetişkinlerde en sık görülen klinik bulgu sistemik arteriyel hipertansiyondur. Bu olgu sunumunda, ekokardiyografi ve bilgisayarlı tomografi ile aort koarktasyonu tanısı konulan ve başarılı primer stent implantasyonu uygulanan, refrakter hipertansiyonu olan 39 yaşında bir kadın hastayı sunuyoruz.
References
- Carlsson Duran NE, Korkmaz Y, Kurt FB, Yılmazer SM, Cingözbay BY. Aort koarktasyonu. Maltepe tıp derg. 2014;6(3):1-5.
- Bonnet LM. Sur la lesion dite stenose congenitale de l’aorte dans la region de l’isthme. RevMed (Paris)1903; 23: 108.
- Campbell M. Natural history of coarctation of the aorta.Heart 1970;32: 633-640.
- Marelli A, Beauchesne L, Colman J, et al. (2022) Canadian Cardiovascular Society 2022 guidelines for cardiovascular interventions in adults with congenital heart disease. Canadian Journal of Cardiology, 38(7), 862-896
- Cramer JW, Bartz PJ, Simpson PM, Zangwill SD. (2014). The spectrum of congenitalheartdiseaseandoutcomesaftersurgicalrepairamongchildrenwithTurnersyndrome: a single-centerreview. Pediatric cardiology, 35, 253-260.
- Wessels MW, Berger RM, Frohn‐Mulder IM, et al. Autosomal dominant in heritance of left ventricular out flow tract obstruction. American Journal of Medical Genetics. Part A. 2005;134A(2):171-179
- Johnson D, Perrault H, Vobecky SJ, et al. Resetting of the cardiopulmonary baroreflex 10 years after surgical repair of coarctation of the aorta. Heart. 2001;85(3):318-325
- de Divitiis M, Pilla C, Kattenhorn M, et al. Vascular dysfunction after repair of coarctation of the aorta: Impact of early surgery. Circulation. 2001;104(Suppl 1):I-165-I-170
- Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC guidelines for the management of grown-up congenital heart disease (newversion 2010). EurHeart J2010;31:2915-57.
- Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. Journal of ThoracicSurgery1945;14:347.
- O’Laughlin MP, Perry SB, Lock JE, Mullins CE.Use of endovascular stents in congenital heart disease. Circulation1991;83:1923-1939.
- Mendelsohn AM, Lloyd TR, Crowley DC, Sandhu SK, Kocis KC, Beekman RH 3rd. Late follow-up of balloon angioplasty in children with a native coarctation of the aorta. The American journal of cardiology, 1994;74:696-700.
- Walhout RJ, Suttorp MJ, Mackaij GJ, Ernst JMPG, Plokker HWM. Long-term out come after balloon angioplasty of coarctation of the aorta in adolescents and adults: Is aneurysm formation an issue? Catheterization and cardiovascular interventions: official journal of the Society for Cardiac Angiography&Interventions. 2009;73(4):549-556.
- Forbes TJ, Garekar S, Amin Z, et al. Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: a multi-institutional study. Catheterization and cardiovascular interventions, 2007;70:276-285.
- Brown ML, Burkhart HM, Connolly HM, et al. Schaff Coarctation of the aorta: life long surveillance is mandatory following surgical repair. Journal of the American College of Cardiology. 2013;62:1020-1025.