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Coarctation of the Aorta: The Syndrome of Necrotizing Arteritis of the Small Intestine Following Surgical Therapy

Coarctation of the Aorta: The Syndrome of Necrotizing Arteritis of the Small Intestine Following... Abstract The surgical therapy of coarctation of the aorta consists of resection of the narrowed segment and reestablishment of continuity of the vessel by end-to-end anastomosis or the insertion of a graft. Certain complications may be expected because of the nature of the surgery: hemorrhage, aneurysm formation, rupture of the anastomosis, infection. Another, which is due primarily to the success of the operation, is a peculiar obstruction in the network of small vessels supplying the lower body organs. The peripheral manifestations relate chiefly to involvement of the intestine, and it is with these that this communication is concerned. Report of Cases Case 1.—A boy, aged 5, was admitted to Hahnemann Hospital on June 5, 1950. Two months earlier a diagnosis of coarctation of the aorta had been made. There had been no symptoms.On physical examination the carotid arteries pulsated prominently. There was slight enlargement of the heart to the left. References 1. Sealy, W. C.: Indications for Surgical Treatment of Coarctation of the Aorta , Surg. Gynec. & Obst. 97:301-306 ( (Sept.) ) 1953. 2. Benson, W. R., and Sealy, W. C.: Arterial Necrosis Following Resection of Coarctation of the Aorta , Lab. Invest. 5:359-376 ( (July) -Aug.) 1956. 3. Lober, P. H., and Lillehei, C. W.: Necrotizing Panarteritis Following Repair of Coarctation of Aorta: Report of 2 Cases , Surgery 35:950-956 ( (June) ) 1954. 4. Ring, D. M., and Lewis, F. J.: Abdominal Pain Following Surgical Correction of Coarctation of the Aorta: A Syndrome , J. Thoracic Surg. 31: 718-724 ( (June) ) 1954. 5. Perez-Alvarez, J. J., and Oudkerk, S.: Necrotizing Arteriolitis of the Abdominal Organs Following Correction of Coarctation of the Aorta: A Case Report , Surgery 37:833-837 ( (May) ) 1955. 6. Grow, J. B.; Demong, C. V., and Rundles, W. R.: Necrotizing Panarteritis: A Complication of Repair of Coarctation of the Aorta , Ann. Surg. 22:1168-1173 ( (Dec.) ) 1956. 7. Claggett, O. T., and Jampolis, R. W.: Coarctation of the Aorta: A Study of 70 Cases in Which Surgical Exploration was Performed , A. M. A. Arch. Surg. 63:337-348 ( (Aug.) ) 1951. 8. Cleland, W. P.; Counihan, T. B.; Goodwin, J. F., and Steiner, R. E.: Coarctation of the Aorta , Brit. M. J. 2:379-390 ( (Aug. 18) ) 1956. 9. Arterial Necrosis Following Resection of Coarctation of the Aorta , Editorials, Lancet 2: 931-932 ( (Nov. 3) ) 1956. 10. Harris, J. S.; Sealy, W. C.; Young, W. G., Jr., and Callaway, H. A., Jr.: The Treatment of Paradoxical Hypertension and Necrotizing Arteriolitis Following Resection of Coarctation of the Aorta , A. M. A. J. Dis. Child. 94:423 ( (Oct.) ) 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Coarctation of the Aorta: The Syndrome of Necrotizing Arteritis of the Small Intestine Following Surgical Therapy

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1958.02060060713010
Publisher site
See Article on Publisher Site

Abstract

Abstract The surgical therapy of coarctation of the aorta consists of resection of the narrowed segment and reestablishment of continuity of the vessel by end-to-end anastomosis or the insertion of a graft. Certain complications may be expected because of the nature of the surgery: hemorrhage, aneurysm formation, rupture of the anastomosis, infection. Another, which is due primarily to the success of the operation, is a peculiar obstruction in the network of small vessels supplying the lower body organs. The peripheral manifestations relate chiefly to involvement of the intestine, and it is with these that this communication is concerned. Report of Cases Case 1.—A boy, aged 5, was admitted to Hahnemann Hospital on June 5, 1950. Two months earlier a diagnosis of coarctation of the aorta had been made. There had been no symptoms.On physical examination the carotid arteries pulsated prominently. There was slight enlargement of the heart to the left. References 1. Sealy, W. C.: Indications for Surgical Treatment of Coarctation of the Aorta , Surg. Gynec. & Obst. 97:301-306 ( (Sept.) ) 1953. 2. Benson, W. R., and Sealy, W. C.: Arterial Necrosis Following Resection of Coarctation of the Aorta , Lab. Invest. 5:359-376 ( (July) -Aug.) 1956. 3. Lober, P. H., and Lillehei, C. W.: Necrotizing Panarteritis Following Repair of Coarctation of Aorta: Report of 2 Cases , Surgery 35:950-956 ( (June) ) 1954. 4. Ring, D. M., and Lewis, F. J.: Abdominal Pain Following Surgical Correction of Coarctation of the Aorta: A Syndrome , J. Thoracic Surg. 31: 718-724 ( (June) ) 1954. 5. Perez-Alvarez, J. J., and Oudkerk, S.: Necrotizing Arteriolitis of the Abdominal Organs Following Correction of Coarctation of the Aorta: A Case Report , Surgery 37:833-837 ( (May) ) 1955. 6. Grow, J. B.; Demong, C. V., and Rundles, W. R.: Necrotizing Panarteritis: A Complication of Repair of Coarctation of the Aorta , Ann. Surg. 22:1168-1173 ( (Dec.) ) 1956. 7. Claggett, O. T., and Jampolis, R. W.: Coarctation of the Aorta: A Study of 70 Cases in Which Surgical Exploration was Performed , A. M. A. Arch. Surg. 63:337-348 ( (Aug.) ) 1951. 8. Cleland, W. P.; Counihan, T. B.; Goodwin, J. F., and Steiner, R. E.: Coarctation of the Aorta , Brit. M. J. 2:379-390 ( (Aug. 18) ) 1956. 9. Arterial Necrosis Following Resection of Coarctation of the Aorta , Editorials, Lancet 2: 931-932 ( (Nov. 3) ) 1956. 10. Harris, J. S.; Sealy, W. C.; Young, W. G., Jr., and Callaway, H. A., Jr.: The Treatment of Paradoxical Hypertension and Necrotizing Arteriolitis Following Resection of Coarctation of the Aorta , A. M. A. J. Dis. Child. 94:423 ( (Oct.) ) 1957.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1958

References