Cure chirurgicale de coarctation de l'aorte chez l'adulte de plus de 30 ans [Surgical repair of aortic coarctation in adults over 30 years of age]

Details

Serval ID
serval:BIB_433826F2A5CE
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Cure chirurgicale de coarctation de l'aorte chez l'adulte de plus de 30 ans [Surgical repair of aortic coarctation in adults over 30 years of age]
Journal
Swiss Surgery
Author(s)
Tevaearai H.T., Mueller X.M., Vogt P., von Segesser L.K., Stumpe F.
ISSN
1023-9332
Publication state
Published
Issued date
2000
Volume
6
Number
2
Pages
88-91
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
Abstract
Coarctation of the aorta is nowadays rarely observed among adult population, as it is usually detected and treated during infancy. The natural history of this disease however is known to lead to early death due to the consequences of severe arterial hypertension. We report on 3 patients older than 30 years, recently operated on in our cardiosurgical units. Two of them were foreigners recently arrived in Switzerland, of 46 and 32 years old respectively. The medical examination highlighted severe hypertension and bilateral absence of femoral pulses. The third patient was a Swiss citizen and had a similar examination. Chest X-rays clearly showed rib notching, and the suspected diagnosis was confirmed with angiography. Three different surgical techniques were chosen, according to the peroperative situation. In one case, the stenosis was resected and an end-to-end anastomosis could be performed. In another case, the occlusion was complete and extended over 3 centimeters. The resected segment was replaced by a prosthetic graft. In the third case, we performed a synthetic patch graft aortoplasty. Postoperative care were simple in every cases. Coarctation of the aorta must be evoked among the possible etiologies of severe hypertension, as the surgical treatment is of real benefit and with reduced morbidity.
Keywords
Adult, Anastomosis, Surgical, Aortic Coarctation/diagnosis, Aortic Coarctation/surgery, Aortography, Blood Vessel Prosthesis Implantation, Humans, Magnetic Resonance Angiography, Male, Middle Aged, Treatment Outcome
Pubmed
Create date
14/02/2008 14:18
Last modification date
20/08/2019 13:46
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