Author/Editor     Klemen, Luka; Svet, Janez; Prokšelj, Katja
Title     Koarktacija aorte pri odraslih bolnikih
Translated title     Coarctation of the aorta in adult patients
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 46, št. 3
Publication year     2007
Volume     str. 221-8
Language     slo
Abstract     Coarctation of the aorta is a congenital aortic stenosis, which is usually diagnosed and surgicallv treated in childhood. Diagnostic work-up for initial diagnosis and follow-up in these patients comprises clinical examination, electrocardiogram, chest X-ray, echocardiography, magnetic resonance imaging or computed tomography of the aorta, exercise testing and 24-hour blood pressure study. These investigations are used to evaluate the morphology of the defect and to determine its hemodynamic significance. The treatment of choice is surgical repair or percutaneous catheter intervention. Despite successful surgical or percutaneous repair, parients with coarctation of the aorta are not cured. Late complications (systemic arterial hypertension, recoarctation or residual coarctation, and dilatation or an aneurysm of the ascending aorta) lead to increased morbidity and mortality. However, regular follow-ups and prompt treatment of late complications improve survival and quality of life in these patients.
Descriptors     AORTIC COARCTATION
ECHOCARDIOGRAPHY, DOPPLER
ADULT