[Surgical treatment of aortic coarctation in adults: mid-term results and effects on the systolic blood pressure].
OBJECTIVE
To evaluate the outcome and the systolic blood pressure changes after surgical treatment of aortic coarctation in adults.


METHODS
Between February 1995 and January 2001, 12 adult patients with a mean age of 29+/-10 years, underwent repair of aortic coarctation in our clinic. The diagnostic and operative data of these patients were retrospectively analyzed. Follow-up was complete in all hospital survivors.


RESULTS
The mean systolic blood pressure of 8 hypertensive patients decreased from 155+/-7 mmHg to 115+/-9 mmHg after surgical intervention. One patient with a dilated cardiomyopathy died one day after the operation due to an intractable ventricular fibrillation (mortality 8.3%). Four patients had been operated for coexisting cardiovascular pathologies during a mean follow-up period of 32+/-26 months.


CONCLUSIONS
Surgical treatment of aortic coarctation in adults can be safely performed with an acceptable mortality and morbidity, both resulting from coexisting cardiovascular disorders in our patient group. The systolic blood pressure may decrease significantly after the operation.
Apaydin
Anil Z
AZ
Department of Cardiovascular Surgery, Medical faculty, Ege University, Izmir. spaydina@efes.net.tr
Posacioğlu
Hakan
H
Nalbantgil
Sanem
S
Islamoğlu
Fatih
F
Ozbaran
Mustafa
M
Büket
Suat
S
Durmaz
Isa
I
D000293:Adolescent; D000328:Adult; D001017:Aortic Coarctation / Q000401:mortality / Q000601:surgery*; D001794:Blood Pressure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007022:Hypotension; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013599:Systole; D016896:Treatment Outcome; D014421:Turkey