成人主动脉缩窄修复术再次手术面临的挑战：该如何应对？
Coarctation repair-redo challenges in the adults: what to do?
作者信息
Beckmann Erik, Jassar Arminder S
机构信息
Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
J Vis Surg. 2018 Apr 23;4:76. doi: 10.21037/jovs.2018.04.07. eCollection 2018.
Abstract
Aortic coarctation is one of the most common congenital cardiac pathologies. Repair of native aortic coarctation is nowadays a common and safe procedure. However, late complications, including re-coarctation and aneurysm formation, are not uncommon. The incidence of these complications is dependent on the type of the initial operation. Both endovascular and conventional open repair play important roles in the treatment of late complications after previous coarctation repair. This article will review the incidence of late complications after coarctation repair and will discuss the treatment options for redo coarctation repair in adult patients.
摘要
主动脉缩窄是最常见的先天性心脏疾病之一。目前，对原发性主动脉缩窄进行修复是一种常见且安全的手术。然而，包括再缩窄和动脉瘤形成在内的晚期并发症并不罕见。这些并发症的发生率取决于初始手术的类型。血管内修复和传统的开放修复在既往缩窄修复术后晚期并发症的治疗中都发挥着重要作用。本文将回顾缩窄修复术后晚期并发症的发生率，并讨论成年患者再次进行缩窄修复的治疗选择。
相似文献
1
Coarctation repair-redo challenges in the adults: what to do?
J Vis Surg. 2018 Apr 23;4:76. doi: 10.21037/jovs.2018.04.07. eCollection 2018.
2
Role of endovascular repair in the management of late pseudo-aneurysms following open surgery for aortic coarctation.
Eur J Cardiothorac Surg. 2009 Oct;36(4):670-4. doi: 10.1016/j.ejcts.2009.04.056. Epub 2009 Jul 9.
3
Case Report: An Innovative Endovascular Technique for Repair of Descending Thoracic Aortic Aneurysm following an Open Coarctation Repair.
Ann Vasc Surg. 2018 Jan;46:205.e1-205.e4. doi: 10.1016/j.avsg.2017.04.007. Epub 2017 May 4.
4
The Fate of the Aorta after Coarctation Repair: Open Surgical Replacement of Descending Aorta in a High-Volume Unit.
J Clin Med. 2024 Sep 10;13(18):5345. doi: 10.3390/jcm13185345.
5
Bridging thoracic endovascular aneurysm repair for a late rupture following aortic coarctation angioplasty.
Cardiol Young. 2016 Jun;26(5):957-60. doi: 10.1017/S1047951115001699. Epub 2015 Sep 8.
6
The Challenges of Redo Aortic Coarctation Repair in Adults.
Curr Cardiol Rep. 2019 Jul 27;21(9):99. doi: 10.1007/s11886-019-1195-8.
7
Open repair of adult aortic coarctation mostly by a resection and graft replacement technique.
J Vasc Surg. 2015 Jan;61(1):66-72. doi: 10.1016/j.jvs.2014.06.010. Epub 2014 Jul 17.
8
Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation.
Eur J Cardiothorac Surg. 2007 Jun;31(6):1004-7. doi: 10.1016/j.ejcts.2007.02.036. Epub 2007 Apr 20.
9
Late outcomes of reintervention on the descending aorta after repair of aortic coarctation.
Circulation. 2010 Sep 14;122(11 Suppl):S81-4. doi: 10.1161/CIRCULATIONAHA.109.925172.
10
Long-term results of endovascular aortic repair for thoracic pseudoaneurysms after previous surgical coarctation repair.
Interact Cardiovasc Thorac Surg. 2011 Oct;13(4):401-4. doi: 10.1510/icvts.2011.271312. Epub 2011 Jul 26.
引用本文的文献
1
Post-Coarctectomy Pseudoaneurysm with Recurrent Coarctation Treated with Open Surgery: A Comprehensive Literature Review and Case Report.
J Clin Med. 2025 Aug 16;14(16):5800. doi: 10.3390/jcm14165800.
2
Surgical technique challenges in adult aortic coarctation patients: A case series.
Int J Surg Case Rep. 2025 Jul 22;134:111718. doi: 10.1016/j.ijscr.2025.111718.
3
A case of a young man with secondary hypertension.
Qatar Med J. 2024 Dec 24;2024(4):53. doi: 10.5339/qmj.2024.53. eCollection 2024.
4
Dislodgement of balloon expandable stent graft in aortic coarctoplasty, protector or proctor fault?: A case report.
Int J Surg Case Rep. 2025 Feb;127:110896. doi: 10.1016/j.ijscr.2025.110896. Epub 2025 Jan 15.
5
Virtual Imaging for a Complex Case of Previous Coarctation Repair.
Ann Thorac Surg Short Rep. 2022 Oct 13;1(1):77-80. doi: 10.1016/j.atssr.2022.10.002. eCollection 2023 Mar.
6
The Fate of the Aorta after Coarctation Repair: Open Surgical Replacement of Descending Aorta in a High-Volume Unit.
J Clin Med. 2024 Sep 10;13(18):5345. doi: 10.3390/jcm13185345.
7
Investigation of Relationship between Hemodynamic and Morphometric Characteristics of Aortas in Pediatric Patients.
J Clin Med. 2024 Aug 29;13(17):5141. doi: 10.3390/jcm13175141.
8
Virtual Planning and Patient-Specific Graft Design for Aortic Repairs.
Cardiovasc Eng Technol. 2024 Apr;15(2):123-136. doi: 10.1007/s13239-023-00701-2. Epub 2023 Nov 20.
9
Diagnosis and surgical outcomes of coarctation of the aorta in pediatric patients: a retrospective study.
Front Cardiovasc Med. 2023 Jul 24;10:1078038. doi: 10.3389/fcvm.2023.1078038. eCollection 2023.
10
Interventions in Adults With Repaired Coarctation of the Aorta.
J Am Heart Assoc. 2022 Jul 19;11(14):e023954. doi: 10.1161/JAHA.121.023954. Epub 2022 Jul 5.
本文引用的文献
1
Extra-anatomical bypass in complex and recurrent aortic coarctation and hypoplastic arch.
Interact Cardiovasc Thorac Surg. 2017 Sep 1;25(3):400-406. doi: 10.1093/icvts/ivx115.
2
Case Report: An Innovative Endovascular Technique for Repair of Descending Thoracic Aortic Aneurysm following an Open Coarctation Repair.
Ann Vasc Surg. 2018 Jan;46:205.e1-205.e4. doi: 10.1016/j.avsg.2017.04.007. Epub 2017 May 4.
3
Spinal cord protection in aortic endovascular surgery.
Br J Anaesth. 2016 Sep;117 Suppl 2:ii26-ii31. doi: 10.1093/bja/aew217.
4
Repair of adult aortic coarctation by resection and interposition grafting.
Interact Cardiovasc Thorac Surg. 2016 Oct;23(4):526-30. doi: 10.1093/icvts/ivw206. Epub 2016 Jun 26.
5
Recurrent coarctation: interventional techniques and results.
World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):257-65. doi: 10.1177/2150135114566099.
6
Intermediate Outcomes in the Prospective, Multicenter Coarctation of the Aorta Stent Trial (COAST).
Circulation. 2015 May 12;131(19):1656-64. doi: 10.1161/CIRCULATIONAHA.114.013937. Epub 2015 Apr 13.
7
2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).
Eur Heart J. 2014 Nov 1;35(41):2873-926. doi: 10.1093/eurheartj/ehu281. Epub 2014 Aug 29.
8
Open repair of adult aortic coarctation mostly by a resection and graft replacement technique.
J Vasc Surg. 2015 Jan;61(1):66-72. doi: 10.1016/j.jvs.2014.06.010. Epub 2014 Jul 17.
9
New-generation stent grafts for endovascular management of thoracic pseudoaneurysms after aortic coarctation repair.
J Vasc Surg. 2014 Aug;60(2):330-6. doi: 10.1016/j.jvs.2014.02.050. Epub 2014 Apr 21.
10
Comparison between covered and bare Cheatham-Platinum stents for endovascular treatment of patients with native post-ductal aortic coarctation: immediate and intermediate-term results.
JACC Cardiovasc Interv. 2014 Apr;7(4):416-23. doi: 10.1016/j.jcin.2013.11.018. Epub 2014 Mar 14.
Zotero 插件