We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
High prevalence of ascending aortic dilation in adults with repaired coarctation of the aorta.
- Authors
Rinnström, Daniel; Dellborg, Mikael; Thilén, Ulf; Sörensson, Peder; Nielsen, Niels-Erik; Christersson, Christina; Johansson, Bengt
- Abstract
Background: Ascending aortic dilation is a feared complication in adults with repaired coarctation of the aorta, as the condition is associated with life-threatening complications such as aortic dissection and rupture. However, the data are currently limited regarding factors associated with ascending aortic dilation in these patients. Methods and results: From the national register of congenital heart disease, 165 adult patients (≥ 18 years old) with repaired coarctation of the aorta, and echocardiographic data on aortic dimensions, were identified (61.2% male, mean age 35.8 ± 14.5 years). Aortic dilation (aortic diameters > 2 SD above reference mean) was found in 55 (33.3%) of the 165 included patients, and was associated with manifest aortic valve disease in univariable logistic regression analysis (OR 2.44, 95% CI [1.23, 4.83]). Conclusions: Aortic dilation is common post-repair of coarctation of the aorta, and is associated with manifest aortic valve disease and thus indirectly with the presence of a bicuspid aortic valve. However, no association was found between aortic dilation and age or blood pressure.
- Publication
Cardiology in the Young, 2021, Vol 31, Issue 6, p992
- ISSN
1047-9511
- Publication type
Article
- DOI
10.1017/S1047951121000111