International Journal of Cardiovascular and Thoracic Surgery

Submit a Manuscript

Publishing with us to make your research visible to the widest possible audience.

Propose a Special Issue

Building a community of authors and readers to discuss the latest research and develop new ideas.

Case Report |

Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases

Introduction: Coarctation of the aorta, a non-cyanogenic congenital heart disease, is a cause of arterial hypertension in young persons, most often managed surgically. We report three cases of coarctation of the aorta in adults operated on at the CNHU-HKM in Cotonou (Benin). Case presentation: our three patients were male with a mean age of 23.3 years. Arterial hypertension of the thoracic limbs with hypotension of the pelvic limbs and a decrease in pelvic limb pulses was the clinical presentation observed. All three patients were diagnosed by transthoracic cardiac echocardiography. On thoracic angioscanner, the location was isthmic in all cases. They all underwent surgical resection of the coarctation, with restoration of aortic continuity by interposition of a Dacron prosthetic graft. Post-operative complications included immediate post-operative grade 3 hypertension, one case of chylothorax, one case of pleuropneumopathy and one case of post-operative hemorrhage. At one year, grade 1 hypertension persisted in one patient. Conclusion: Coarctation of the aorta can be successfully operated in Benin. Post-operative follow-up must be meticulous, in search of residual hypertension.

Coarctation Aorta, Congenital Heart Disease, Hypertension, Adult, Benin

APA Style

Kémal Boribata, A., Hounkponnou, M., Nathalie Adigbonon, F., Désiré Nekoua, K., Nkenhoung, M., et al. (2023). Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases. International Journal of Cardiovascular and Thoracic Surgery, 9(6), 77-83. https://doi.org/10.11648/j.ijcts.20230906.12

ACS Style

Kémal Boribata, A.; Hounkponnou, M.; Nathalie Adigbonon, F.; Désiré Nekoua, K.; Nkenhoung, M., et al. Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(6), 77-83. doi: 10.11648/j.ijcts.20230906.12

AMA Style

Kémal Boribata A, Hounkponnou M, Nathalie Adigbonon F, Désiré Nekoua K, Nkenhoung M, et al. Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases. Int J Cardiovasc Thorac Surg. 2023;9(6):77-83. doi: 10.11648/j.ijcts.20230906.12

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Gach P, Dabadie A, Sorensen C, Quarello E, Bonello B, Pico H. Imagerie multi-modalités de la coarctation aortique, du fœtus à l’adolescent. JIDI. 2016; 97: 215-25.
2. Lakehal R, Bendjaballah S, Boukarroucha R, Aimer F, Nazal R, Brahami A et al. Chirurgie de la coarctation aortique: à propos de 40 cas. Batna J Med Sci 2017; 4 (1): 53-7.
3. Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al. ACC/AHA 2008. Guidelines for Adults with CHD. JACC 2008; 52 (23).
4. Ndobo-Koe V, Mbede M, Nganou-Gnindjio CN, Mfeukeu-Kuate L, Mekone-Nkwele I, Zemsi1 S et al. Coarctation de l’aorte révélée par une hypertension artérielle associée à une insuffisance aortique chez un jeune adulte: à propos d’un cas. Health Sci Dis. 2022; 23 (7): 116-9.
5. Bouchart F, Dubar A, Tabley A, Litzler PY, Haas-Hubscher C, Redonnet M et al. Coarctation of the aorta in adults: surgical results and long-term follow-up. Ann Thorac Surg. 2000; 70: 1483-9.
6. Albuquerque LC, Goldani MA, Goldani JJ, Araújo RL, Piantá RM, Narvaes LB et al. Correção cirúrgica da coartação da aorta nos primeiros seis meses de vida. Rev Bras Cir Cardiovasc. 2002; 17 (2): 29-35.
7. Ben el Hosni K, Bouklata S. La coarctation de l’aorte. Feuill de radiol. 2011; 51: 280-1.
8. El Ouali L, Lahlou I, Laaouze S, Messouak M, Akoudad H. La coarctation de l’aorte chez l’adulte: encore une fois un diagnostic tardif. JMSM. 2010; 2: 39-42.
9. Echchikhi M, Moatassim BN, Ittimade N. L’exploration de la coarctation de l’aorte chez l’adulte par l’angioscanner: une série de 10 cas. IJCRT. 2020; 8: 2901-6.
10. Maciej K, Małgorzata I, Zbigniew M, Bany R and Małgorzata U. N. Z. Morphometric evaluation of aortic coarctation and collateral circulation using computed tomography in the adult population. Acta Radiologica. 2019: 1–8.
11. Rao PS. Coarctation of the aorta. Curr Cardiol Rep. 2005; 7: 425-34.
12. Touma Y, N’Guyen A, N’Guyen N, Assayag P, Kirsch M. Traitement de la coarctation native de l’aorte de l’adulte. Presse Med. 2013; 42: 1196-202.
13. Majdoub A, Boulmakoul S, Elhafidi A, Moumna A, Messouak M. Résultats chiurgicaux à propos de 07 patients opérés pour coarctation aortique chez l’adulte. JMSM. 2020; 22 (4): 13-8.
14. Sigal-Cinqualbre A, Lambert V, Ronhean A, Paul JF. Place du scanner multicoupes et de l’IRM dans la stratégie diagnostique des cardiopathies congénitales. Arch Pédiatr. 2011; 18 (5): 617-27.
15. Charlton-ouw KM, Codreanu ME, Leake SS, Sandhu HK, Calderon D, Azizzadeh A et al. Open repair of adult aortic coarctation mostly by a resection and graft replacement technique. J Vasc Surg. 2014; 1-7.
16. Vaksmann G, Richard A. Prise en charge de la coarctation de l’aorte chez l’adulte. Presse Med. 2011; 40 (7-8): 726-31.
17. Roubertie F, Le bret E, Belli E, Roussin R, Ly M, Bensari N et al. Coarctations aortiques et hypoplasie de l’arche. EMC Tech chir Thoax. 2010; 1-13.
18. Ledesma M, Alva C, Gomez FD, Sanchez-Soberanis A, Diaz y Diaz E, Benitez-Perez C et al. Results of stenting for aortic coarctation. The Am Cardiol. 2001; 88: 460-2.
19. De Divitiis M, Pilla C, Kattenhorn M, Zadinello M, Donald A, Leeson P et al. Vascular dysfunction after repair of coarctation of the aorta: impact of early surgery. Circulation. 2001; 104: 165-70.
20. Masson C, Leys D, Meder JF, Dousset V, Pruvo J-P. Ischémie médullaire. J. Neuroradiol. 2004; 31: 35-46.
21. Cordonnier DLC, Masson C, Pruvo J-P. Infarctus médullaires. EMC-Neurologie. 2005; 2: 163-74.
22. Vanhulle C, Durand I, Tron P. Paraplegie par ischémie médullaire après cure chirurgicale d'une coarctation de l'aorte. Arch Pediatr. 1998; 5: 633-6.
23. Ozkokeli M, Gunduz H, Sensoz Y, Ates M, Gunay R, Tayyareci G, et al. Blood pressure changes after aortic coarctation surgery performed in adulthood. J Card Surg. 2005; 20: 319-21.
24. Canniffe C, Ou P, Walsh K, Bonnet D, Celermajer D. Hypertension after repair of aortic coarctation - A systematic review. Int J Cardiol. 2013; 167: 2456-61.
25. O'Sullivan J. Late hypertension in patients with repaired aortic coarctation. Curr Hypertens Rep. 2014; 16: 421.
26. Toro-Salazar OH, Steinberger J, Thomas W. Long-term follow-up of patients after coarctation of the aorta repair. Am J Cardiol. 2002; 89: 541-7.
27. Christensen NA. Coarctation of the aorta: historical review. Proc Staff Meet Mayo Clin. 1948; 23 (15): 322-4.
28. Bonnet LM. Sur la lésion dite sténose congénitale de l’aorte dans la région de l’isthme. Rev Med Paris. 1903; 23: 108.
29. Connoly HM, HustonIII J, Brown RD, Warnes CA, Ammash NM, Tajik AJ. Intracranial aneurysms in patients with coarctation of the aorta: a prospective magnetic resonance angiographic study of 100 patients. Mayo Clin Proc. 2003; 78: 1491-9.