Nguyen Lan, Cook Stephen C
Department of Cardiovascular Medicine, Heart and Vascular Institute, University of Pittsburgh, Scaife Hall S560.1, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Department of Pediatrics, The Adult Congenital Heart Disease Center, Heart Institute Children's Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
Cardiol Clin. 2015 Nov;33(4):521-30, vii. doi: 10.1016/j.ccl.2015.07.011. Epub 2015 Aug 29.
Coarctation of the aorta is a common congenital heart defect through which management has rapidly evolved over the last few decades. The role of transcatheter-based therapies is expanding and seems to be an effective treatment option for coarctation, especially in adults. Patients with prior coarctation repair are at risk of long-term complications related to prior surgeries and associated congenital heart defects, in particular, the risk of restenosis and aortic aneurysm development related to the timing and mode of prior intervention. This article outlines the evaluation and management of adults with unrepaired coarctation and patients after coarctation repair.
主动脉缩窄是一种常见的先天性心脏缺陷，在过去几十年中其治疗方法迅速发展。基于导管的治疗方法的作用正在扩大，似乎是治疗主动脉缩窄的一种有效选择，尤其是在成人患者中。曾接受主动脉缩窄修复术的患者有发生与既往手术及相关先天性心脏缺陷有关的长期并发症的风险，特别是与既往干预的时机和方式相关的再狭窄和主动脉瘤形成的风险。本文概述了未修复的主动脉缩窄成人患者及主动脉缩窄修复术后患者的评估和管理。
