Aortic Coarctation

被引：46

作者：

Kim, Yuli Y. ^{[1
,2
]}

Andrade, Lauren ^{[1
,2
]}

Cook, Stephen C. ^{[3
]}

机构：

[1] Univ Penn, Penn Med, Perelman Sch Med, Philadelphia Adult Congenital Heart Ctr, 3400 Civ Ctr Blvd, Philadelphia, PA 19104 USA

[2] Childrens Hosp Philadelphia, Perelman Ctr Adv Med, 3400 Civ Ctr Blvd, Philadelphia, PA 19104 USA

[3] Michigan State Univ, Helen DeVos Childrens Hosp, Frederik Meijer Heart & Vasc Inst,Pediat & Human, Congenital Heart Ctr,Adult Congenital Heart Dis P, 25 Michigan St NE Suite 4200, Grand Rapids, MI 49503 USA

来源：

CARDIOLOGY CLINICS | 2020年 / 38卷 / 03期

关键词：

Aortic coarctation; Congenital heart disease; Aorta; Aortopathy; Stent therapy; SUCCESSFULLY REPAIRED COARCTATION; RESONANCE-IMAGING PREDICTORS; LONG-TERM; BALLOON ANGIOPLASTY; ADULT PATIENTS; YOUNG-ADULTS; PROINFLAMMATORY CYTOKINES; INTRACRANIAL ANEURYSMS; RECURRENT COARCTATION; VASCULAR DYSFUNCTION;

D O I：

10.1016/j.ccl.2020.04.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aortic coarctation is a discrete narrowing of the thoracic aorta. In addition to anatomic obstruction, it can be considered an aortopathy with abnormal vascular properties characterized by stiffness and impaired relaxation. There are surgical and transcatheter techniques to address the obstruction but, despite relief, patients with aortic coarctation are at risk for hypertension, aortic complications, and abnormalities with left ventricular performance. This review covers the etiology, pathophysiology, diagnosis, and management of adults with aortic coarctation, with emphasis on multimodality imaging characteristics and lifelong surveillance to identify long-term complications.

引用

页码：337 / +

页数：16

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