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:: Volume 7, Issue 4 (12-2018) ::
Int J Med Invest 2018, 7(4): 57-63 Back to browse issues page
Fetal Coarctation of the Aorta Successfully Repaired in the Neonatal Period, a Case Report and Review of Literature
Alireza Golbabaei *, Ehsan Aghaei Moghaddam, Mohammad Taghi Majnoun, Ali Mirabi
Department of Pediatrics cardiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (1919 Views)
Coarctation of the aorta is one of the most difficult conditions to diagnose during fetal life witch affecting with a frequency of approximately 5-8% of live births with congenital heart disease. We would like to report a case of coarctation of the aorta diagnosed prenatally at 28 weeks’ gestation. There were evidences of right ventricular and atrial enlargements, significant aortic stenosis, antegrade and retrograde flow in proximal part of descending aorta at fetal echocardiography. Since it was not appropriate time for abortion, the pregnancy was monitored and continued to termination. Surgical relief of the aortic obstruction was done in the day 20 of birth. The neonate was surgically treated successfully. Prenatal diagnosis of coarctation of the aorta is potentially life-saving and can improve the outcomes of operative conditions in infants preparing for surgery. Early detection and surgically repair of Coarctation of the aorta can significantly improve survival rate of affected neonates.
Keywords: Coarctation Of The Aorta, Congenital Heart Disease, Fetal Echocardiography, Prenatal Diagnosis
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Type of Study: Research | Subject: General
1. 1. Lannering K, Bartos M, Mellander M. Late diagnosis of coarctation despite prenatal ultrasound and postnatal pulse oximetry. Pediatrics. 2015;136(2):e406-e12. 2. Holland B, Myers J, Woods C. Prenatal diagnosis of critical congenital heart disease reduces risk of death from cardiovascular compromise prior to planned neonatal cardiac surgery: a meta‐analysis. Ultrasound in Obstetrics & Gynecology. 2015;45(6):631-8. 3. Mellander M, Sunnegårdh J. Failure to diagnose critical heart malformations in newborns before discharge—an increasing problem? Acta Paediatrica. 2006;95(4):407-13. 4. Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Archives of pediatrics & adolescent medicine. 2008;162(10):969-74. 5. Sharland GK, Chan K-Y, Allan LD. Coarctation of the aorta: difficulties in prenatal diagnosis. Heart. 1994;71(1):70-5. 6. Hornberger LK, Weintraub RG, Pesonen E, Murillo-Olivas A, Simpson IA, Sahn C, et al. Echocardiographic study of the morphology and growth of the aortic arch in the human fetus. Observations related to the prenatal diagnosis of coarctation. Circulation. 1992;86(3):741-7. 7. Wren C, Reinhardt Z, Khawaja K. Twenty-year trends in diagnosis of life-threatening neonatal cardiovascular malformations. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2008;93(1):F33-F5. 8. Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. The Journal of pediatrics. 2008;153(6):807-13. 9. Isomatsu Y, Imai Y, Shin'oka T, Aoki M, Sato K. Coarctation of the aorta and ventricular septal defect: should we perform a single-stage repair? The Journal of thoracic and cardiovascular surgery. 2001;122(3):524-8. 10. Dijkema EJ, Leiner T, Grotenhuis HB. Diagnosis, imaging and clinical management of aortic coarctation. Heart. 2017:heartjnl-2017-311173. 11. Franklin O, Burch M, Manning N, Sleeman K, Gould S, Archer N. Prenatal diagnosis of coarctation of the aorta improves survival and reduces morbidity. Heart. 2002;87(1):67-9. 12. Roos-Hesselink J, Schölzel B, Heijdra R, Spitaels S, Meijboom F, Boersma E, et al. Aortic valve and aortic arch pathology after coarctation repair. Heart. 2003;89(9):1074-7. 13. Quartermain MD, Cohen MS, Dominguez TE, Tian Z, Donaghue DD, Rychik J. Left ventricle to right ventricle size discrepancy in the fetus: the presence of critical congenital heart disease can be reliably predicted. Journal of the American Society of Echocardiography. 2009;22(11):1296-301. 14. Slodki M, Rychik J, Moszura T, Janiak K, Respondek-Liberska M. Measurement of the Great Vessels in the Mediastinum Could Help Distinguish True From False‐Positive Coarctation of the Aorta in the Third Trimester. Journal of Ultrasound in Medicine. 2009;28(10):1313-7. 15. Boris JR. Primary-care management of patients with coarctation of the aorta. Cardiology in the Young. 2016;26(8):1537-42. 16. Aboulhosn J, Child JS. Left ventricular outflow obstruction: subaortic stenosis, bicuspid aortic valve, supravalvar aortic stenosis, and coarctation of the aorta. Circulation. 2006;114(22):2412-22. 17. Erbel R, Bednarczyk I, Pop T, Todt M, Henrichs K, Brunier A, et al. Detection of dissection of the aortic intima and media after angioplasty of coarctation of the aorta. An angiographic, computer tomographic, and echocardiographic comparative study. Circulation. 1990;81(3):805-14. 18. Levine JC, Sanders SP, Colan SD, Jonas RA, Spevak PJ. The risk of having additional obstructive lesions in neonatal coarctation of the aorta. Cardiology in the young. 2001;11(1):44-53. 19. Dessole S, D’Antona D, Ambrosini G, Fadda MC, Capobianco G. Pregnancy and delivery in young woman affected by isthmic coarctation of the aorta. Archives of gynecology and obstetrics. 2000;263(3):145-7. 20. O'sullivan J, Derrick G, Darnell R. Prevalence of hypertension in children after early repair of coarctation of the aorta: a cohort study using casual and 24 hour blood pressure measurement. Heart. 2002;88(2):163-6.
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Golbabaei A, Aghaei Moghaddam E, Majnoun M T, Mirabi A. Fetal Coarctation of the Aorta Successfully Repaired in the Neonatal Period, a Case Report and Review of Literature. Int J Med Invest. 2018; 7 (4) :57-63
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Volume 7, Issue 4 (12-2018) Back to browse issues page
International Journal of Medical Investigation
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