Surgical treatment for coarctation of the aortain an adult patient after myocardial infarctionand heart failure

Authors: Arakelyan V.S. 1, Bukatsello R.G. 1,2, 2, Bortnikova N.V. 1, Enokyan L.G. 1

Company: 1 Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation;
2 I.M. Sechenov First Moscow Medical State University of Ministry of Health of the Russian Federation, ulitsa Trubetskaya, 8, stroenie 2, Moscow, 119991, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2018-12-1-76-81

For citation: Arakelyan V.S., Bukatsello R.G., Bortnikova N.V., Enokyan L.G. Surgical treatment for coarctation of the aorta in an adult patient after myocardial infarction and heart failure. Kreativnaya Kardiologiya (Creative Cardiology). 2018; 12 (1): 76–81 (in Russ.). DOI: 10.24022/1997-3187-2018-12-1-76-81.

Received / Accepted:  30.05.2017/09.06.2017

Keywords: coarctation of the aorta coronary artery disease heart failure coarctation of the aorta in adults

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Abstract

Surgical treatment of aortic coarctation in patients with concomitant cardiac pathology is extremely topical in cardiovascular surgery, far from its resolution. The high frequency of complications in the treatment of such patients determines the preferred endovascular technique of correction, which is often impossible due to the anatomy of a congenital malformation. The presence of myocardial dysfunction of mixed genesis and features of systemic hemodynamics dictate the choice of a single weighted solution in determining the tactics of treatment.

The article describes the rare clinical case of treating an almost complete aortic interruption in an adult patient after myocardial infarction, heart failure and significant lesions of the coronary arteries.

References

  1. Cohen M., Fuster V., Steele P. et al . Coarctation of the aorta. Long-term follow-up and prediction of outcome after surgical correction. Circulation. 1989; 80: 840–5.

  2. Rosenthal E. Coarctation of the aorta from fetus to adult: curable condition or life long disease process? Heart. 2005; 91 (11): 1495–502.

  3. Jatene M., Abuchaim D., Oliveira J., Jr, Riso A., Tanamati C., Miura N. et al. Outcomes of aortic coarctation surgical treatment in adults. Rev. Bras. Cir. Cardiovasc. 2009; 24 (3): 346–53.

  4. Campbell M. Natural history of coarctation of the aorta. Br. Heart J. 1970; 32 (5): 633–40.

  5. Aris A., Subirana M., Ferre′s P., Torner-Soler M. Repair of aortic coarctation in patients more than 50 years of age. Ann. Thorac. Surg. 1999; 67: 1376–9.

  6. Cook S., Ferketich A.K., Raman S.V. et al. Myocardial ischemia in asymptomatic adults with repaired aortic coarctation. Int. J. Cardiol. 2009; 133: 95–101

  7. Bouchart F., Dubar A., Tabley A. et al. Coarctation of the aorta in adults: surgical results and long-term follow-up. Ann. Thorac. Surg. 2000; 70: 1483–8.

  8. Jurcut R., Daraban A., Lorber A. et al. Coarctation of the aorta in adults: what is the best treatment? Case report and literature review. J. Med. Life. 2011; 4: 189–95.

  9. Roifman I., Therrien J., Ionescu-Ittu R., Pilote L., Guo L., Kotowycz M. et al. Coarctation of the aorta and coronary artery disease: fact or fiction? Circulation. 2012; 126: 16–21.

  10. Yalonetsky S., Horlick E., Osten M., Benson L., Oechslin E., Silversides C. Clinical characteristics of coronary artery disease in adults with congenital heart defects. Int. J. Cardiol. 2013; 164: 217–20.

  11. Tanous D., Benson L., Horlick E. Coarctation of the aorta: evaluation and management. Curr. Opin. Cardiol. 2009; 24: 509–15.

  12. Hijazi Z.M., Kenny D.P. Covered stents for coarctation of the aorta. JACC. Cardiovasc. Intervent. 2014; 7: 424–5.

  13. Forbes T., Gowda S. Intravascular stent therapy for coarctation of the aorta. Method. DeBakey Cardiovasc. J. 2014; 10: 82–7.

  14. Forbes T., Garekar S., Amin Z., Zahn E., Nykanen D., Moore P. et al. Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: a multi-institutional study. Cathet. Cardiovasc. Interv. 2007; 70 (2): 276–85.

About Authors

  • Arakelyan Valeriy Sergeevich, Dr Med. Sc., Professor, Head of Department, orcid.org/0000-0002-0284-6793;
  • Bukatsello Roman Gennad'evich, Cand. Med. Sc., Senior Researcher, orcid.org/0000-0002-9751-4993;
  • Bortnikova Natal'ya Vladimirovna, Junior Researcher, orcid.org/0000-0003-1254-2889;
  • Enokyan Lyusine Georgievna, Cand. Med. Sc., Senior Researcher, orcid.org/0000-0002-3701-5818

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery