Results of a multimodal approach for the management of aortic coarctation and its complications in adults.

Abstract:

OBJECTIVES:We aimed to assess the results of various tailored management strategies for adults with coarctation in our centre. METHODS:We reviewed all adults patients treated for aortic caorctation between January 2000 and December 2015 in our institution. The primary end point was a composite of death, perioperative stroke, paraplegia, need for unplanned reoperation or occurrence of pseudoaneurysm during the follow-up. The mean follow-up was 82 ± 5 months. RESULTS:Sixty-three adults were treated for a native coarctation (n = 34), a recurrent coarctation (n = 14) or aneurysmal complication (n = 15). Mean age of the patients was 42 ± 1.7 years. All but 1 patient with native coarctation (33/34, 97%) and recurrent coarctation (13/14, 93%) underwent endovascular repair and 10 (67%) patients with aneurysmal complications were treated surgically. Freedom from the primary composite end point was 94, 84 and 81% at 1, 5 and 10 years, respectively, without difference between the 3 indication groups (P = 0.96). CONCLUSIONS:A tailored management strategy is necessary to provide good results for the treatment of adults with aortic coarctation. Thus, centres that are involved in the care of this complex pathology should be able to propose a multimodal approach, either endovascular or surgical depending on patient's characteristics and anatomic features.

authors

Noly PE,Legris-Falardeau V,Ibrahim R,El-Hamamsy I,Cartier R,Lamarche Y,Bouchard D,Dorval JF,Poirier N,Demers P

doi

10.1093/icvts/ivx039

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

335-342

issue

3

eissn

1569-9293

issn

1569-9285

pii

3814334

journal_volume

25

pub_type

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