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Open Access 01-12-2014 | Case report

Aortic coarctation: guidelines mismatch across the ocean

Authors: Martino Pepe, Fortunato Iacovelli, Filippo Masi, Vito Marangelli, Arnaldo Scardapane, Alessandro De Santis, Luca Sgarra, Donato Quagliara, Stefano Favale

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

Abstract

Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.

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Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE, Galie N, Gatzoulis MA, Gohlke-Baerwolf C, Kaemmerer H, Kilner P, Meijboom F, Mulder BJ, Oechslin E, Oliver JM, Serraf A, Szatmari A, Thaulow E, Vouhe PR, Walma E: ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J. 2010, 31: 2915-2957.CrossRefPubMed

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Title: Aortic coarctation: guidelines mismatch across the ocean
Authors: Martino Pepe
Fortunato Iacovelli
Filippo Masi
Vito Marangelli
Arnaldo Scardapane
Alessandro De Santis
Luca Sgarra
Donato Quagliara
Stefano Favale
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-9-38

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Aortic coarctation: guidelines mismatch across the ocean

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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