| Factors affecting long-term risk of aortic arch recoarctation after the Norwood procedure. | |
| | |
MedLine Citation:
|
PMID: 18355534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The purpose of this study was to identify factors predicting risk of aortic arch recoarctation after the Norwood procedure. METHODS: Patient records were reviewed retrospectively for consecutive patients who underwent the Norwood procedure from 1996 to 2005. Preoperative and intraoperative parameters were identified for analysis. Aortic arch recoarctation was defined by the need for catheter or surgical reintervention. Data were analyzed using survival analysis, with freedom from intervention as the outcome. Factors predicting need for reintervention were analyzed using Cox proportional hazards regression. RESULTS: Thirty-five recoarctations were observed in 117 patients (30%). Freedom from aortic arch reintervention at six months, one, three, and five years were 72%, 63%, 56%, and 52%, respectively. The majority of arch reinterventions occurred in the first six months (63%), involving either surgical (43%) or catheter (57%) techniques. The use of bovine pericardium showed the greatest risk for potential recoarctation (hazard ratio = 1.81 [0.90-3.64], p = 0.09). Age, gender, weight, ascending aortic diameter, ventricular morphology, primary anatomic diagnosis, and coarctation shelf resection were not found to be predictors of recoarctation. CONCLUSIONS: Most interventions for aortic arch recoarctation after the Norwood procedure occur within the first six months of life. The type of patch material used for arch reconstruction appears to influence, most strongly, the long-term risk of aortic arch recoarctation. |
| | |
Authors:
|
Traci M Ashcraft; Karen Jones; William L Border; Pirooz Eghtesady; Jeffrey M Pearl; Phillip R Khoury; Peter B Manning |
Related Documents
:
|
16408474 - Aortic valve-sparing operation and a total arch replacement by an elephant trunk method... 20006934 - Innovations in aortic disease: the ascending aorta and aortic arch. 10535834 - Pulmonary atresia with intact ventricular septum, right-sided aortic arch, and an aorto... 7362014 - Right aortic arch with aberrant left subclavian artery: symptomatic in adulthood. 9933254 - Potential role of a membrane-bound nadh oxidoreductase in nitric oxide release and arte... 11157714 - Use of the internal mammary artery graft and in-hospital mortality and other adverse ou... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 85 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2008 Apr |
Date Detail:
|
Created Date: 2008-03-21 Completed Date: 2008-04-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 1397-401; discussion 1401-2 Citation Subset: AIM; IM |
Affiliation:
|
Division of Cardiothoracic Surgery, The Heart Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Coarctation
/
mortality,
radiography,
surgery* Aortography Cardiac Surgical Procedures / adverse effects*, methods Cohort Studies Female Follow-Up Studies Humans Infant Infant, Newborn Male Predictive Value of Tests Probability Proportional Hazards Models Recurrence Reoperation / methods, mortality Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bidirectional Glenn and antegrade pulmonary blood flow: temporary or definitive palliation?
Next Document: Isolated atrioventricular discordance: surgical experience.