Risk factors for aortic complications in adults with coarctation of the aorta
Jose Maria Oliver, MD*,*,
Pastora Gallego, MD ,
Ana Gonzalez, MD*,
Angel Aroca, MD*,
Monserrat Bret, MD and
Jose Maria Mesa, MD*
* Adult Congenital Heart Disease Unit, Radiology Department, La Paz University Hospital, Madrid, Spain
Radiology Department, La Paz University Hospital, Madrid, Spain
Virgen Macarena University Hospital, Sevilla, Spain
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Figure 1 (A) Transesophageal echocardiography showing aortic bicuspid valve and right sinus of Valsalva aneurysm ruptured into the right atrium late after balloon dilation of coarctation of the aorta. (B) Magnetic resonance image (MRI) of an ascending aorta aneurysm in a patient with unrepaired mild coarctation of the aorta. (C) This MRI shows a descending aorta giant false aneurysm in another patient with unrepaired mild coarctation. (D) This MRI shows an abnormal bulge of aorta (aneurysm) and a false aneurysm (pseudoaneurysm) late after patch aortoplasty; aortobronchial fistula, causing massive hemoptysis, was also demonstrated (arrow). An = true aneurysm; PsA = false aneurysm.
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Figure 2 Prevalence of aortic complications and ascending (Asc Ao) or descending (Desc Ao) aortic aneurysm in adults with coarctation of the aorta, according to management: surgery (Group I), transcatheter intervention (Group II), or not previously repaired (Group III).
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Figure 3 Prevalence of aortic wall complications in patients with coarctation of the aorta when these patients were classified according to age group and coexistence of the bicuspid aortic valve (BAV).
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