ENDOVASCULAR TREATMENT OF NATIVE COARCTATION OF THE AORTA IN ADULTS: MOROCCAN EXPERIENCE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 10
Abstract
Coarctation of the aorta is a congenital heart disease characterized by a local narrowing of the aortic lumen, most often located at the level of the aortic isthmus.It is rarely diagnosed in adulthood, which in this case it is discovered through etiological assessment of arterial hypertension. Endovascular treatment has become an alternative therapy to surgery. Material and methods:Our work includes a retrospective serie of 5 cases of coarctation of the aorta (CoA) treated by endovascular approach, casesthat had been compiled in the vascular surgery department of Ibn Sina Hospital in Rabat, over a period of time between January 2010 and April 2015. The follow-up was based on the measurement of blood pressure and a radiological follow-up byComputed Tomography Angiography (CTA). Result:The mean age of the patients was 22 years old. Arterial hypertension with a pressure gradient between arm and leg was the usual clinical presentation. Clinical diagnosis was confirmed by CT-angiography. The coarctation of the aorta (CoA) was located at the thoracic level in 3 patients and at the abdominal level in 2 others. Two patients were treated by balloon angioplasty alone while the othersangioplasting + stenting: covered stents (stent grafts) in 2 patients, and a bare metal stent in 1 patient. The results during a long-term follow-up showed a normalization of blood pressure under low dose combination therapy in 4 patients, while in a single patientnutritional-hygienic measures. Also the radiological follow-up showed a decrease in the trans-stenotic pressure gradient and the absence of restenosis. Conclusion: CoA is a congenital malformation that is not uncommon, and diagnosis is clinical. The debate about therapeutic choice is open; however the endovascular approach remains the least invasive one.
Authors and Affiliations
Raiss Zakaria, Zoulati Mohammed, El Boussaadani. B, Sefiani. Y, Bensaid . Y.
Keywords
Related Articles
- EP ID EP410183
- DOI 10.21474/IJAR01/7909
- Views 67
- Downloads 0
ANALYTICAL STUDY OF CAUSATIVE FACTORS OF NEONATAL LIMB GANGRENE.
Aim and objectives: To analyze the various etiological factors involved in development of neonatal limb gangrene. Duration of study ? Two years (Aug 2015 to Aug 2017). Study design ? Retrospective and Prospective. Inclus...
A NOVEL APPROACH IN PATIENT CARE AND NON-PHARMACOLOGICAL TREATMENT FOR RHEUMATOID ARTHRITIS.
RheumatoidArthritis (RA) is a chronic, systemic autoimmune disease characterized by persistent inflammation of synovial joints, often leading to joint destruction and disability. The major goals of treatment are to relie...
THE EFFECTS OF AGES ON THE SOME MECHANICAL PROPERTIES OF PHYLLOSTACHYSPUBESCENSBAMBOO.
This paper formulates and reviews Indicators of mechanical strength of bamboo such as: vertical compression strength, vertical tensile strength, radial direction bending strength, tangent direction bending strength...is...
IMMUNOPHENOTYPIC ANALYSIS OF ACUTE PROMYELOCYTIC LEUKEMIA AT A TERTIARY CARE INSTITUTE.
International Journal of Advanced Research (IJAR)
BENIGN METASTASIZING LEIOMYOMA IN AN ELDERLY FEMALE, A CASE REPORT, AND REVIEW OF THE LITERATURE.
Benign Metastasizing Leiomyoma (BML) is a rare disease mostly seen among women in the fertile period with a previous history or coincidental finding of uterine leiomyoma. We report a case of pulmonary BML from the uterus...