questionsmedicales.fr
Malformations et maladies congénitales, héréditaires et néonatales
Malformations
Malformations cardiovasculaires
Cardiopathies congénitales
Coarctation aortique
Coarctation aortique : Questions médicales fréquentes
Diagnostic
5
Coarctation aortique
Échocardiographie
Imagerie par résonance magnétique
Hypertension
Coarctation aortique
Signes cliniques
Tests génétiques
Coarctation aortique
Syndromes génétiques
Échographie fœtale
Coarctation aortique
Diagnostic prénatal
Coarctation aortique
Hypertension
Diagnostic adulte
Symptômes
5
Symptômes
Coarctation aortique
Essoufflement
Douleurs aux jambes
Coarctation aortique
Circulation sanguine
Nouveau-nés
Coarctation aortique
Détresse respiratoire
Hypertension
Coarctation aortique
Pression artérielle
Symptômes
Coarctation aortique
Maux de tête
Prévention
5
Prévention
Coarctation aortique
Congénital
Suivi prénatal
Coarctation aortique
Anomalies cardiaques
Antécédents familiaux
Coarctation aortique
Maladies cardiaques
Mode de vie
Coarctation aortique
Complications cardiovasculaires
Vaccinations
Coarctation aortique
Infections
Traitements
5
Traitements
Coarctation aortique
Chirurgie
Chirurgie
Coarctation aortique
Symptômes
Angioplastie
Coarctation aortique
Procédures non chirurgicales
Chirurgie
Coarctation aortique
Complications
Médicaments
Coarctation aortique
Antihypertenseurs
Complications
5
Complications
Coarctation aortique
Hypertension
Insuffisance cardiaque
Coarctation aortique
Pression artérielle
Accidents vasculaires cérébraux
Coarctation aortique
Hypertension
Risques à long terme
Coarctation aortique
Complications vasculaires
Suivi
Coarctation aortique
Examens cardiaques
Facteurs de risque
5
Facteurs de risque
Coarctation aortique
Anomalies congénitales
Syndromes génétiques
Coarctation aortique
Syndrome de Turner
Âge
Coarctation aortique
Nouveau-nés
Sexe
Coarctation aortique
Prévalence
Facteurs environnementaux
Coarctation aortique
Grossesse
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"@type": "Question",
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"@type": "Question",
"name": "Les tests génétiques sont-ils utiles pour le diagnostic ?",
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{
"@type": "Question",
"name": "Quel rôle joue l'échographie fœtale ?",
"position": 4,
"acceptedAnswer": {
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"@type": "Question",
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"@type": "Question",
"name": "Quels sont les symptômes courants de la coarctation aortique ?",
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"position": 8,
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"@type": "Question",
"name": "Comment la coarctation aortique affecte-t-elle la pression artérielle ?",
"position": 9,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques chez les adultes ?",
"position": 10,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Peut-on prévenir la coarctation aortique ?",
"position": 11,
"acceptedAnswer": {
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"@type": "Question",
"name": "Quels conseils pour les femmes enceintes ?",
"position": 12,
"acceptedAnswer": {
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}
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{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies cardiaques peuvent augmenter le risque."
}
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{
"@type": "Question",
"name": "Y a-t-il des mesures de style de vie à adopter ?",
"position": 14,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Les vaccinations sont-elles importantes ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles aident à prévenir les infections qui pourraient aggraver l'état cardiaque."
}
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{
"@type": "Question",
"name": "Quels traitements sont disponibles pour la coarctation aortique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la chirurgie, l'angioplastie et la mise en place de stents."
}
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{
"@type": "Question",
"name": "La chirurgie est-elle toujours nécessaire ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
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}
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{
"@type": "Question",
"name": "Qu'est-ce que l'angioplastie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une procédure non chirurgicale qui dilate le rétrécissement de l'aorte à l'aide d'un ballon."
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{
"@type": "Question",
"name": "Quels sont les risques associés à la chirurgie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent des infections, des saignements et des complications cardiaques."
}
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{
"@type": "Question",
"name": "Les médicaments sont-ils utilisés dans le traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments antihypertenseurs peuvent être prescrits pour gérer la pression artérielle."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'hypertension, l'insuffisance cardiaque et les accidents vasculaires cérébraux."
}
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{
"@type": "Question",
"name": "Comment l'insuffisance cardiaque est-elle liée ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'insuffisance cardiaque peut résulter d'une pression artérielle élevée non contrôlée."
}
},
{
"@type": "Question",
"name": "Les AVC sont-ils un risque ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une hypertension prolongée peut augmenter le risque d'accidents vasculaires cérébraux."
}
},
{
"@type": "Question",
"name": "Y a-t-il des risques à long terme ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients peuvent développer des problèmes cardiaques chroniques et des complications vasculaires."
}
},
{
"@type": "Question",
"name": "Comment surveiller les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi régulier avec des examens cardiaques et des contrôles de la pression artérielle est essentiel."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de la coarctation aortique ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des anomalies congénitales, des antécédents familiaux et des maladies génétiques."
}
},
{
"@type": "Question",
"name": "Les maladies génétiques augmentent-elles le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des syndromes comme Turner ou Marfan sont associés à un risque accru."
}
},
{
"@type": "Question",
"name": "L'âge joue-t-il un rôle dans le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque est plus élevé chez les nouveau-nés et les jeunes enfants, mais peut persister à l'âge adulte."
}
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{
"@type": "Question",
"name": "Le sexe influence-t-il le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la coarctation aortique est plus fréquente chez les hommes que chez les femmes."
}
},
{
"@type": "Question",
"name": "Les facteurs environnementaux sont-ils impliqués ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs environnementaux, comme l'exposition à certaines substances pendant la grossesse, peuvent jouer un rôle."
}
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 22/06/2026
Contenu vérifié selon les dernières recommandations médicales
4 publications dans cette catégorie
Affiliations :
Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands j.roos@erasmusmc.nl.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Bristol Medical School, University of Bristol, Bristol, UK.
Bristol Heart Institute, University Hospitals Bristol, NHS Foundation Trust, Bristol, UK.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Department of Congenital and Pediatric Cardiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands.
Publications dans "Coarctation aortique" :
3 publications dans cette catégorie
Affiliations :
Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Bristol Medical School, University of Bristol, Bristol, UK.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Bristol Medical School, University of Bristol, Bristol, UK.
Bristol Heart Institute, University Hospitals Bristol, NHS Foundation Trust, Bristol, UK.
Division of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Bristol Medical School, University of Bristol, Bristol, UK.
Bristol Heart Institute, University Hospitals Bristol, NHS Foundation Trust, Bristol, UK.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Bristol Medical School, University of Bristol, Bristol, UK.
Cardiorespiratory Division, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Paediatric Cardiovascular Surgery, Tepecik Hospital, Sağlik Bilimleri University, İzmir, Turkey. Email: dr.onur.aras@gmail.com.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiovascular Medicine Mayo Clinic, Rochester, Minnesota, USA. Electronic address: egbe.alexander@mayo.edu.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiovascular Medicine Mayo Clinic, Rochester, Minnesota, USA.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiovascular Medicine Mayo Clinic, Rochester, Minnesota, USA.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiovascular Medicine Mayo Clinic, Rochester, Minnesota, USA.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Atrium Health, Sanger Heart and Vascular Institute.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Vascular Medicine, German Aortic Center, University Heart Center Hamburg-Eppendorf, Hamburg, Germany.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiology University Medical Center Utrecht Utrecht The Netherlands.
Publications dans "Coarctation aortique" :
2 publications dans cette catégorie
Affiliations :
Department of Cardiology Amsterdam UMC, Location Academic Medical Center Amsterdam The Netherlands.
Publications dans "Coarctation aortique" :
This study aims to compare aortic morphology between repaired coarctation patients and controls, and to identify aortic morphological risk factors for hypertension and cardiovascular events (CVEs) in ...
Repaired coarctation patients with computed tomography angiography (CTA) or magnetic resonance angiography (MRA) were included, followed-up and compared with sex-matched and age-matched controls. Thre...
Sixty-five repaired coarctation patients (23 years (IQR 19-38)) were included, of which 44 (68%) patients were hypertensive at baseline. After a median follow-up of 8.7 years (IQR 4.8-15.4), 27 CVEs o...
Repaired coarctation patients have a smaller aortic arch and a more tortuous course of the aorta compared with controls. Besides left ventricular mass index, geometrical features might be of importanc...
The exact prevalence and clinical significance of excessive increase in blood pressure in response to exercise in patients with repaired coarctation of aorta (CoA) remains unknown....
This study aimed to investigate the impact of different definitions of exercise-induced hypertension (EIH) on the prevalence rates in our adult patients with repaired CoA. A systematic review of the a...
We retrospectively analyzed exercise test data from adult patients with repaired CoA followed at the national referral center for adult congenital heart disease between 1998 and 2021. The three most r...
Our registry included 161 adult CoA patients. Complete exercise test results were available in 74 patients (59% male, median age 39 years [range 20-68 years]). The prevalence of EIH in our cohort vari...
EIH is common in patients with repaired CoA; however, the rates of EIH vary greatly depending on the definition used. A standardized and uniform EIH definition is needed to accurately assess the preva...
Preterm birth is common in children with congenital heart disease. However, data on how to manage low-birth-weight infants with aortic coarctation are scarce and outcomes are poorly reported. Surgery ...
All infants weighing less than 2000 g who underwent repair for aortic coarctation at our institution between January 2017 and December 2020 were included in a retrospective study. Baseline characteris...
A total of 15 patients had coarctation repair at a median age of 15 days and at a median weight of 1585 g. Infants with a birth weight <1200 g were operated on later and did not have higher recoarctat...
Delaying surgery beyond 15 days to gain weight does not appear to decrease the risk of recoarctation and may be deleterious in low-birth-weight infants who are exposed for a longer period to risk fact...
The present study aimed to evaluate the outcomes of percutaneous treatment of aortic coarctation using self-expandable uncovered Nitinol stents. We conducted a retrospective clinical data review of al...
This study aimed to compare the effectiveness of resection and extended end-to-end anastomosis between neonate and infant patients with coarctation....
This study was designed retrospectively and included 41 neonate (<30 days) and infant (30 days to 1 year) patients who were operated on using the resection and extended end-to-end anastomosis techniqu...
While the mean age (p<0.001), body weight (p<0.001), and proximal arch Z score (p=0.029) were found to be significantly lower in the neonate group than in the infant group, the total length of the int...
The resection and extended end-to-end anastomosis is an equally effective technique that can provide a marked decrease in gradient in the coarctation area and a significant enlargement of the aortic a...
Paraparesis following cardiac surgery is a manifestation of spinal cord injury (SCI). It can occur in any aortic surgery from the aneurysm to the coarctation of the aorta (CoA) where the cross-clamp o...
A left thoracotomy approach is anatomically appropriate for childhood aortic coarctation; however, the pediatric femoral arteriovenous diameters are too small for cardiopulmonary bypass cannulation. W...
We retrospectively reviewed 10 patients who underwent coarctation repair under partial main pulmonary artery-to-descending aorta cardiopulmonary bypass with a left thoracotomy as the CPB group. During...
The median age and weight at surgery of the CPB group were 3.1 years (range, 9 days to 17.9 years) and 14.0 (range, 2.8-40.7) kg, respectively. Indications for the partial cardiopulmonary bypass with ...
Partial cardiopulmonary bypass through the main pulmonary artery and descending aorta via a left thoracotomy is a safe and useful option for aortic coarctation repair in children....
Coarctation of the aorta (CoA) is the most common undiagnosed congenital heart defect during prenatal screening. High false positive and false negative rates seriously affect prenatal consultation and...
One hundred and fifty-four fetuses with suspected CoA who presented at Fuwai Hospital between December 2017 and August 2021 were enrolled and divided into confirmed CoA cases (n = 47) and false positi...
The cases with confirmed CoA had thinner transverse arches (1.92 ± 0.32 mm vs. 3.06 ± 0.67 mm, P = 0.0001), lower Z-scores of the isthmus (-8.97 ± 1.45 vs. -5.65 ± 1.60, P = 0.0001), smaller TAO-DAO a...
The 3-step diagnostic protocol included the three most useful measurements and the additional indices with appropriate cut-off values. The algorithm is useful for the detection of aortic coarctation i...
Retrospectively registered....
The optimal choice of surgery in coarctation of the aorta (CoA) remains controversial but it needs to be individualised. However, in most conditions, a surgical approach through thoracotomy maintains ...
Patients who underwent CoA repair through thoracotomy between September 2015 and February 2023 were included in the study, except for those with complex cardiac diseases. Medical records were retrospe...
Overall, 98 patients including 50 neonates were reviewed. The most common surgical method was extended end-to-end anastomosis, performed in 53 patients. The median follow-up time was 4.6 years. There ...
Thoracotomy provided feasible surgical access that led to satisfactory results with a low complication rate, negligible residual gradient, low incidence of hypertension and excellent rate for freedom ...
To investigate postoperative vascular changes of patients with coarctation of the aorta (CoA)....
Literature review of updated articles was performed in June 2023 through the following databases: PubMed, Web of Science, EMBASE, Crohrane Library, CNKI and Wanfang database. All the case-control stud...
A total of 596 articles from the above databases were initially identified, with 10 articles being selected for meta-analysis. The analysis showed that weighted mean difference (WMD) of carotid intima...
The operation on CoA patients ameliorates anatomical deformity in the vascular structures. However, intima-media thickening and endothelial malfunction remain as the key postoperative issues....