International Journal of Cardiovascular and Thoracic Surgery

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

Received: 9 November 2023    Accepted: 6 December 2023    Published: 18 December 2023
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Abstract

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.

DOI 10.11648/j.ijcts.20230906.12
Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 6, November 2023)
Page(s) 77-83
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

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

References
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Cite This Article
  • 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

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    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

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    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

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  • @article{10.11648/j.ijcts.20230906.12,
      author = {Abdel Kémal Boribata and Murielle Hounkponnou and Fifamè Nathalie Adigbonon and Kounapya Désiré Nekoua and Maxwell Nkenhoung and Inès Djouking and Théophilia Gracias Mawuton Sahossi and Samson Djaouwe Souloukna and Codjo Xavier Fadonougbo and François Koukoui and Mathieu Debauchez and Houétondji Léopold Codjo},
      title = {Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {9},
      number = {6},
      pages = {77-83},
      doi = {10.11648/j.ijcts.20230906.12},
      url = {https://doi.org/10.11648/j.ijcts.20230906.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230906.12},
      abstract = {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.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Coarctation of the Aorta Operated on Adults at the National University Hospital Center Hubert Koutoukou Maga (CNHU-HKM) of Cotonou: About 3 Cases
    AU  - Abdel Kémal Boribata
    AU  - Murielle Hounkponnou
    AU  - Fifamè Nathalie Adigbonon
    AU  - Kounapya Désiré Nekoua
    AU  - Maxwell Nkenhoung
    AU  - Inès Djouking
    AU  - Théophilia Gracias Mawuton Sahossi
    AU  - Samson Djaouwe Souloukna
    AU  - Codjo Xavier Fadonougbo
    AU  - François Koukoui
    AU  - Mathieu Debauchez
    AU  - Houétondji Léopold Codjo
    Y1  - 2023/12/18
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcts.20230906.12
    DO  - 10.11648/j.ijcts.20230906.12
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 77
    EP  - 83
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20230906.12
    AB  - 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.
    
    VL  - 9
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    ER  - 

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Author Information
  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science, Polyvalent University Anesthesia and Resuscitation Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

  • Debmat-Sante, Paris, France

  • Debmat-Sante, Paris, France

  • Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin

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