The Management of Aortic Coarctation Associated with Hypoplastic Arches and Particular Arch Anatomies: A Literature Review

Overview

Journal J Pers Med

Date 2024 Jul 27

PMID 39063986

Authors

Irina-Maria Margarint

Tammam Youssef

Mircea Robu

Iulian Rotaru

Alexandru Popescu

Olguta Untaru

Cristina Filip

Ovidiu Stiru

Vlad Anton Iliescu

Radu Vladareanu

Affiliations

Soon will be listed here.

Abstract

The surgical management of aortic coarctation in newborns needs to ensure postoperative evolution and long-term results as much as possible. Patients with a Gothic arch have a higher rate of postoperative hypertension, while newborns with a bovine arch have higher rates of restenosis and, thus, an additional risk of mortality. Late hypertension, even in anatomically successfully repaired patients, confers a high risk for cardiovascular events. This review of the literature focuses on the management of aortic coarctations associated with hypoplastic arch and particular arch anatomies, focusing on surgical techniques and their outcomes.

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