Aortic arch morphology and late systemic hypertension following correction of coarctation of aorta.
OBJECTIVE
To reproduce in an adult population a pediatric study that found an association between aortic arch geometry and late systemic hypertension following successful repair of aortic coarctation.


RESULTS
Fifty-one patients with successful repair of coarctation of the aorta had blood pressure measurement at rest and during exercise. After cross-sectional imaging of the aortic arch, patients were assigned to 1 of 3 previously defined morphological categories: normal, gothic, or crenel. The degree of residual stenosis and the ratio of the height/transverse diameter of the arch (A/T ratio) were calculated. No relationship was found between arch geometry and either resting- or exercise-induced hypertension.


CONCLUSIONS
We found the classification into 3 morphological types difficult and did not find an association between gothic arch or a high A/T ratio and hypertension.
Lashley
Daniel
D
Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Curtin
John
J
Malcolm
Paul
P
Clark
Allan
A
Freeman
Leisa
L
D000328:Adult; D001013:Aorta, Thoracic / Q000473:pathology*; D001017:Aortic Coarctation / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications*; D001794:Blood Pressure; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D003251:Constriction, Pathologic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed