Examined were 42 patients with aortal coarctation at the age of from 6 to 35 years. The differences in hemodynamics, microcirculation and oxygen regimen of tissues depending on the degree of aortal coarctation were revealed. To diagnose the degree of aortostenosis, it is suggested to use the transcutaneous monitoring of PO2 distally to the site of coarctation.
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Angiol Sosud Khir
November 2019
Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University Hospital Muenster, Muenster, Germany.
The patient was 62-year-old male who successfully underwent an anatomic repair of aortic coarctation at the age of 15 and an extra-anatomic ascending aorta- to-descending aorta bypass (graft size 20 mm) and an extra-anatomic ascending aorta to the left subclavian artery bypass (graft size 10 mm) at the age of 49. As he grew older he started presenting clinical symptoms of aortic stenosis. The echocardiogram showed a bicuspid aortic valve with severe stenosis and a mean gradient of 65 mm Hg.
View Article and Find Full Text PDFKhirurgiia (Mosk)
March 2018
Department of Aortic surgery, Petrovsky Russian Research Center of Surgery, Moscow, Russia.
The results of perinatal management and surgical treatment of 30 newborn babies, owing antenatally diagnosed isolated aortal coarctation (AC) and 40 newborn babies, in whom this diagnosis was not established antenatally, were analyzed. Application of antenatal diagnosis and optimization of the patients' perinatal management algorithm have permitted to reduce the treatment duration in the intensive therapy division of cardiosurgical department. In newborn babies, to whom the diagnosis of AC was established antenatally, a trustworthy reduced duration of postoperative pulmonary artificial ventilation was revealed in comparison with such in patients, in whom this diagnosis was not established antenatally.
View Article and Find Full Text PDFRev Med Chir Soc Med Nat Iasi
August 2013
University of Medicine and Pharmacy Grigore T Popa Iasi, Faculty of Medicine.
Unlabelled: Infectious endocarditis (IE) represents a rare pathology in children, but with lethal potential. The goal of the therapy is fast and total eradication of the infection.
Aims: To study particularities in diagnosis and treatment for infectious endocarditis in children.
Ann Vasc Surg
May 2012
Department of Thoracic and Vascular Surgery, University of Ulm, Ulm, Germany.
Background: Coarctation is one of the most often seen congenital aortal defects. In the majority, diagnosis will be made in newborns. Endovascular repair is critical in children owing to their growth, but in adult patients, it is an interesting alternative.
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