Document Detail


One-stage neonatal repair of complex aortic arch obstruction or interruption. Recent experience at Texas Children's Hospital.
MedLine Citation:
PMID:  9456485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The optimal surgical approach for complex aortic coarctation or an interrupted aortic arch with associated intracardiac defects is not universally agreed upon. We reviewed our experience with 18 consecutive patients (10 with coarctation, 8 with interrupted aortic arch) undergoing a 1-stage repair through median sternotomy between September of 1995 and February of 1997. Age at operation ranged from 3 days to 3 months (mean 23 days) and weight ranged from 1,700 g to 5,100 g (mean 3,350 g). Under hypothermic circulatory arrest, the aortic arch was reconstructed using native tissue-tissue anastomoses, and coexisting intracardiac anomalies were repaired by standard techniques. All patients survived the procedure and were ultimately discharged from the hospital. There were 2 late deaths in the interrupted aortic arch group, 1 during reoperation for subaortic stenosis and the other from noncardiac causes 5 months after discharge. Another interrupted aortic arch patient required a Ross-Konno procedure 8 months later. There has been no recoarctation among the 16 survivors. Thus a 1-stage repair for complex aortic arch obstruction in neonates can be accomplished with low operative risk, although long-term outcome is strongly influenced by the presence of subaortic obstruction.
Authors:
K Hirooka; C D Fraser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  24     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  1997  
Date Detail:
Created Date:  1998-03-18     Completed Date:  1998-03-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  317-21     Citation Subset:  IM    
Affiliation:
Division of Congenital Heart Surgery, Texas Children's Hospital, Houston 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Arch Syndromes / mortality,  surgery*
Aortic Coarctation / mortality,  surgery*
Cardiac Surgical Procedures / methods*
Female
Follow-Up Studies
Heart Defects, Congenital / mortality,  surgery*
Humans
Infant
Infant, Newborn
Male
Postoperative Complications / mortality
Reoperation
Time Factors
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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