Lashley Daniel, Curtin John, Malcolm Paul, Clark Allan, Freeman Leisa
Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Congenit Heart Dis. 2007 Nov-Dec;2(6):410-5. doi: 10.1111/j.1747-0803.2007.00133.x.
To reproduce in an adult population a pediatric study that found an association between aortic arch geometry and late systemic hypertension following successful repair of aortic coarctation.
Fifty-one patients with successful repair of coarctation of the aorta had blood pressure measurement at rest and during exercise. After cross-sectional imaging of the aortic arch, patients were assigned to 1 of 3 previously defined morphological categories: normal, gothic, or crenel. The degree of residual stenosis and the ratio of the height/transverse diameter of the arch (A/T ratio) were calculated. No relationship was found between arch geometry and either resting- or exercise-induced hypertension.
We found the classification into 3 morphological types difficult and did not find an association between gothic arch or a high A/T ratio and hypertension.
在成年人群中重现一项儿科研究，该研究发现主动脉缩窄成功修复后，主动脉弓形态与晚期系统性高血压之间存在关联。
51例主动脉缩窄成功修复的患者在静息和运动时进行了血压测量。在对主动脉弓进行横断面成像后，患者被分为先前定义的3种形态类别中的1种：正常、哥特式或城垛式。计算残余狭窄程度和弓的高度/横径比（A/T比）。未发现弓形态与静息或运动诱发的高血压之间存在关联。
我们发现将其分为3种形态类型很困难，且未发现哥特式弓或高A/T比与高血压之间存在关联。
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