HYPERTENSION AFTER RESECTION OF COARCTATION OF THE AORTA
Open Access
- 1 July 1961
- Vol. 23 (4) , 370-376
- https://doi.org/10.1136/hrt.23.4.370
Abstract
An account is given of the post-operative course of the blood pressure in 33 children (aged 2 months-13 years) operated upon for coarctation of the aorta. Five of these (15%) developed reactive hypertension, defined as a post-operative rise in blood pressure to above the pre-operative level. In one of these patients the reactive hypertension was presumably of renal origin, and in two others urinary symptoms pointed to a similar causation. The etiology and pathogenesis are discussed, and from the prophylactic viewpoint it is recommended that the release of the aortic clamps after anastomosis be very slow.Keywords
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