Research progress of cardiovascular monitoring in the whole life cycle after repair of coarctation of aorta in infants
10.3760/cma.j.cn112434-20240920-00226
- VernacularTitle:婴幼儿主动脉缩窄修复后全生命周期心血管监测的研究进展
- Author:
XuCong SHI
1
;
Jianbin WENG
;
Lianglong MA
;
Zhuo SHI
;
Xiangming FAN
Author Information
1. 浙江大学医学院附属儿童医院 国家儿童健康与疾病临床医学研究中心心脏外科，杭州 310052
- Publication Type:Journal Article
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2025;41(7):440-446
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Coarctation of the aorta is a genetically related diffuse aortic disease. Even after successful repair and with normal blood pressure, patients have a significant increase of risk in long-term cardiovascular events. Coarctation of the aorta accounts for 6%-8% of congenital heart diseases. Although the results of surgery and interventional treatment are satisfactory, the long-term survival rate of patients is still lower than that of health people, and there is a high proportion of re-intervention. Factors affecting prognosis include concomitant diseases, genetic characteristics, restenosis, hypertension, heart failure, neurodevelopmental disorders, obesity, psychology, etc. Therefore, people with coarctation of the aorta need cardiovascular monitoring throughout their life cycle. Currently, there are relevant guidelines of follow-up management for adult patients, but there is still no clear cardiovascular monitoring strategy for child and adolescent patients in transition. Based on a large number of domestic and foreign literature and clinical experience, this article summarizes the follow-up management strategies for full-life cardiovascular monitoring immediately after the repair of coarctation of the aorta in infancy and childhood from the perspective of concomitant diseases, genetic characteristics and long-term complications.
