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Coarctation of the Aorta in Adulthood

  • Joseph A. Dearani
  • Constantine Mavroudis
Chapter

Abstract

Coarctation of the aorta in adulthood presents as a number of clinical scenarios relating to residual coarctation from previous surgical or transcatheter therapy, undiagnosed coarctation presenting with hypertension, or the rarer complications relating to endocarditis, aneurysmal dilatation, or congestive heart failure. Today, recoarctation (and in some cases, native coarctation) is usually treated with transcatheter balloon dilation and covered stent interventions, but there are instances in which surgical therapy is preferable for various anatomic reasons.

Keywords

Coarctation in adults Adults with congenital heart disease Hypertension Coarctectomy Aortoplasty 

Abbreviations

ACC

American College of Cardiology

ACHD

Adults with congenital heart disease

AHA

American Heart Association

Ao

Aorta

EEG

Electroencephalogram

ICV

Inferior caval vein also known as inferior vena cava (IVC)

LLPV

Left lower pulmonary vein

LPA

Left pulmonary artery

LSA

Left subclavian artery

LUPV

Left upper pulmonary vein

LV

Left ventricle

PA

Pulmonary artery

PDA

Patent ductus arteriosus also known as patent arterial duct (PAD)

PTFE

Polytetrafluoroethylene

RA

Right atrium

SCV

Superior caval vein also known as superior vena cava (SVC)

TEE

Transesophageal echocardiography

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Joseph A. Dearani
    • 1
  • Constantine Mavroudis
    • 2
  1. 1.Professor of Surgery, Department of Cardiac SurgeryMayo ClinicRochesterUSA
  2. 2.Professor of SurgeryJohns Hopkins University School of Medicine, Johns Hopkins All Children’s HospitalSt. PetersburgUSA

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