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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2006 February;19(1):49-51
Our experiences with adult type aortic coarctation
Duran E., Canbaz S., Acipayam M., Gur O.
Department of Cardiovascular Surgery Medical Faculty of Trakya University, Edirne, Turkey
Adult patients with coarctation of the aorta may require different treatment modalities and surgical methods from children. A total of five adult aorta coarctation cases who underwent operations in our clinic were reviewed. In this article, we describe five adult aortic coarctation cases between 22 and 62 years old (33.8±17) who underwent operations between 1998 and 2004. There was preoperative hypertension in all five cases. We performed patch plasty operations with PTFE grafts under aortic cross-clamping in three patients, and bypass operations with 8 mm PTFE grafts under aortic partial clamping in the other two. The mean aortic cross-clamp time of the patch plasty patients was 38,6±8,5 min, and the mean aortic partial clamping time of the bypass patients was 52±12 min. We found paradoxical hypertension 24 h after the operation in two cases (1st and 2nd patients), 48 h after the operation in the third and 72 h after the operation in the remaining two (4th and 5th patients). We observed no perioperative neurogenic complications or mortality. Surgical treatment of coarctation of the aorta in adults usually alleviates hypertension and reduces the need for antihypertensive drugs. A bypass between proximal and distal segments of the aorta that have normal wall structure is a reliable method, with lower morbidity and mortality rates in older patients.