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

Abdel Kémal Boribata; Murielle Hounkponnou; Fifamè Nathalie Adigbonon; Kounapya Désiré Nekoua; Maxwell Nkenhoung; Inès Djouking; Théophilia Gracias Mawuton Sahossi; Samson Djaouwe Souloukna; Codjo Xavier Fadonougbo; François Koukoui; Mathieu Debauchez; Houétondji Léopold Codjo

doi:doi:10.11648/j.ijcts.20230906.12

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

Abdel Kémal Boribata, Murielle Hounkponnou, Fifamè Nathalie Adigbonon, Kounapya Désiré Nekoua^*, Maxwell Nkenhoung, Inès Djouking, Théophilia Gracias Mawuton Sahossi, Samson Djaouwe Souloukna, Codjo Xavier Fadonougbo, François Koukoui, Mathieu Debauchez, Houétondji Léopold Codjo

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 6)

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.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 6)
DOI	10.11648/j.ijcts.20230906.12
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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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
IS - 6
ER -

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Author Information

Abdel Kémal Boribata

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

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

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

Contact Email
Kounapya Désiré Nekoua

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

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

Faculty of Health Science (FSS), University Cardiology Clinic of National University Hospital Center Hubert Koutoukou Maga, Cotonou, Benin
Théophilia Gracias Mawuton Sahossi

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

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

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

Debmat-Sante, Paris, France
Mathieu Debauchez

Debmat-Sante, Paris, France
Houétondji Léopold Codjo

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

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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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VL - 9
IS - 6
ER -

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