Document Detail


Surgical repair of coarctation of the aorta in infants under one year of age. Long-term results in 146 patients comparing subclavian flap angioplasty and modified end-to-end anastomosis.
MedLine Citation:
PMID:  1533395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between July 1976 and February 1991, 146 consecutive infants underwent surgical repair of coarctation of the aorta. Age at operation varied from 2 days to 11 months (median 1 month). Ninety-two (63%) were less than 2 months. Isolated coarctation was present in 65 patients (group 1), associated ventricular septal defect in 49 patients (group 2) and complex anomalies in 32 patients (group 3). The majority (65%) were in a critical condition and 45 patients (31%) were artificially ventilated. Subclavian flap angioplasty was performed in 39 patients and resection and end to end anastomosis in 107 patients. Neither hospital mortality was significantly different between subclavian flap angioplasty (15%) and end-to-end anastomosis (18%) nor was the postoperative hypertension. Actuarial survival at 10 years were 100% for group 1, 94% for group 2, and 62% for group 3. Seventeen patients had recurrent coarctation. No significant difference was found in terms of types of repair or age at operation. As no major advantage in terms of mortality and morbidity to either technique was found, we recommend resection and end-to-end anastomosis. This technique not only relieves the obstruction whatever the level is but also eliminates the ductal tissue, preserves the subclavian artery and avoids the use of prosthetic material.
Authors:
J E Rubay; T Sluysmans; V Alexandrescu; K Khelif; D Moulin; A Vliers; P Jaumin; C H Chalant
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  33     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1992 Mar-Apr
Date Detail:
Created Date:  1992-06-04     Completed Date:  1992-06-04     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:  216-22     Citation Subset:  IM    
Affiliation:
Clinique Universitaires Saint Luc, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Anastomosis, Surgical / methods
Angioplasty, Balloon
Aortic Coarctation / surgery*
Female
Follow-Up Studies
Hospital Mortality
Humans
Hypertension / etiology
Infant
Infant, Newborn
Male
Postoperative Complications
Recurrence
Reoperation
Retrospective Studies
Subclavian Artery / surgery
Surgical Flaps / methods

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


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