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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
12
|
| pubmed:dateCreated |
1989-6-23
|
| pubmed:abstractText |
An analysis of percutaneous transluminal angioplasty of the coarctation of the aorta in adults was evaluated in a cooperative study of the German Working Group of Angioplasty of the German Society of Cardiology. Dilation was performed in 18 patients with a mean age of 26 years (14-49 years). The success rate (gradient less than or equal to 20 mm Hg) was 78% regarding peak to peak gradient, 89% regarding mean gradient. The peak-to-peak gradient decreased from 82 +/- 16 mm Hg to 18 +/- 11 mm Hg. The diameter of the aortic isthmus increased from 0.7 +/- 0.3 cm to 1.3 +/- 0.4 cm (p less than 0.01). After six months only one restenosis occurred. The peak-to-peak gradient measured 10 +/- 12 mm Hg, the diameter 1.4 +/- 0.5 cm. In two patients a balloon rupture occurred without rupture-related complications. No patients died, no cross paralysis or aortic rupture occurred. In three of seven patients with trans-esophageal echocardiographic monitoring a small intimal flap was found; in one patient a media dissection occurred leading to a 15-min period of chest pain and spontaneous healing. In another patient successful dilation was controlled by acute control aortography and computer tomography. After discharge severe chest pain developed. A subtraction angiography of the aorta was negative. Six months later a biplane aortography of the distal thoracic aorta confirmed the diagnosis of aortic dissection type III DeBakey, previously diagnosed by transesophageal echocardiography.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
ger
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0300-5860
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
77
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
797-804
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:2977869-Adolescent,
pubmed-meshheading:2977869-Adult,
pubmed-meshheading:2977869-Angioplasty, Balloon,
pubmed-meshheading:2977869-Aortic Coarctation,
pubmed-meshheading:2977869-Aortography,
pubmed-meshheading:2977869-Echocardiography, Doppler,
pubmed-meshheading:2977869-Female,
pubmed-meshheading:2977869-Follow-Up Studies,
pubmed-meshheading:2977869-Humans,
pubmed-meshheading:2977869-Male,
pubmed-meshheading:2977869-Middle Aged,
pubmed-meshheading:2977869-Risk Factors,
pubmed-meshheading:2977869-Tomography, X-Ray Computed
|
| pubmed:year |
1988
|
| pubmed:articleTitle |
[Aortic isthmus stenoses--dilatation in adulthood. A German cooperative study].
|
| pubmed:affiliation |
II. Med. Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz.
|
| pubmed:publicationType |
Journal Article,
English Abstract
|