| Late results of the subclavian flap repair of coarctation in infancy. | |
| | |
MedLine Citation:
|
PMID: 2663874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
From June 1979 through January 1985, 22 infants under 20 months of age (mean 8 months and 4 kg) underwent coarctation repair with a left subclavian aortoplasty. The most commonly associated lesions were ventricular septal defect (50%), hypoplastic aortic arch (45%), patent ductus arteriosus (41%), transposition of great arteries (22.7%) and other intracardiac lesions comprised 30%. Indication for surgery was congestive heart failure refractory to medical management. All patients were on inotropic support. Two patients required mechanical ventilation preoperatively. Subclavian flap angioplasty was performed with 7.0 continuous polypropylene suture. Ligation of a patent ductus arteriosus was simultaneously done in 8 patients and pulmonary artery banding in 8 others. Four patients (18%) died within 30 days after operation; 3 of them had severe tubular hypoplasia of the aortic arch. Three transient postoperative complications were encountered; chylothorax, subclavian steal syndrome and Horner's syndrome. No hospital deaths occurred in patients with isolated coarctation of the aorta. All survivors were followed for a period varying from 3 to 6.5 years (mean, 2 years). There were 3 late deaths (13.6%). Non invasive studies have shown a satisfactory result in 14 patients with a residual gradient less than 20 mmHg and in 10 of them, cardiac catheterization and cineangiography showed no evidence of significant stenosis. In one patient only, femoral pulses were absent 4 months postoperatively. These results and reports of others indicate, contrary to the age, that the presence of associated disease affects mortality. Prompt repair of coarctation of the aorta in all infants with or without symptoms is recommended and the subclavian flap procedure appears to be a simple and safe method for relief of coarctation of the aorta in critically ill infants. |
| | |
Authors:
|
E Baudet; A al-Qudah |
Related Documents
:
|
8204034 - Acute aortic occlusion. a 40-year experience. 11041174 - Long-term results of balloon aortic valvulotomy for congenital aortic stenosis in child... 8131764 - Balloon valvuloplasty for valvular pulmonary stenosis in children over 6 months of age:... 12796764 - Outcomes of uncomplicated aortic valve stenosis presenting in infants. 22747864 - Amniotic membrane transplantation in primary pterygium compared with bare sclera techni... 21712704 - A prospective randomized trial comparing subatmospheric wound therapy with a sealed gau... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of cardiovascular surgery Volume: 30 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 1989 May-Jun |
Date Detail:
|
Created Date: 1989-08-17 Completed Date: 1989-08-17 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: ITALY |
Other Details:
|
Languages: eng Pagination: 445-9 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular Surgery, Haut-leveque Cardiological Hospital, Bordeaux, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aorta, Thoracic
/
surgery Aortic Coarctation / surgery* Female Follow-Up Studies Heart Defects, Congenital / surgery Humans Infant Male Subclavian Artery / surgery* Suture Techniques Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An overview of muscle strengthening.
Next Document: A prospective comparison of intra-arterial digital subtraction and conventional angiography prior to...