Jurcut R, Daraban A M, Lorber A, Deleanu D, Amzulescu M S, Zara C, Popescu B A, Ginghina C
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
J Med Life. 2011 May 15;4(2):189-95. Epub 2011 May 25.
Coarctation of the aorta is a congenital cardiac malformation that can go undiagnosed until old age with only hypertension as a marker of its presence because clinical signs can be subtle and overlooked if a complete physical exam is not performed. We report the case of a 45 year-old women, diagnosed with severe coarctation of the aorta just distal to the left subclavian artery, with poststenotic dilatation of the descending aorta and difficult control of blood pressure values. The patient was successfully treated interventionally, by balloon angioplasty with deployment of a covered stent. We review here the different methods employed for the treatment of coarctation of the aorta in adults, including surgical or percutaneous balloon angioplasty with or without stent placement, underlying their complications and the factors that influence the choice of the best coarctation repair method.
主动脉缩窄是一种先天性心脏畸形，在老年之前可能一直未被诊断出来，仅以高血压作为其存在的标志，因为如果不进行全面的体格检查，临床体征可能很细微且易被忽视。我们报告了一例45岁女性病例，该患者被诊断为左锁骨下动脉远端严重主动脉缩窄，降主动脉有狭窄后扩张，且血压值难以控制。该患者通过球囊血管成形术并植入覆膜支架成功接受了介入治疗。我们在此回顾了用于治疗成人主动脉缩窄的不同方法，包括手术治疗或有或无支架置入的经皮球囊血管成形术，强调了它们的并发症以及影响最佳缩窄修复方法选择的因素。
