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The Annals of Thoracic Surgery, Vol 24, 544-549, Copyright © 1977 by The Society of Thoracic Surgeons

ARTICLES

Correction of aortic coarctation in neonates: mortality and late results

Q Macmanus, A Starr, LE Lambert and G Grunkemeier

To determine those factors that affect mortality and to analyze long- term results, the records of 44 infants who underwent repair of aortic coarctation at less than 90 days of age were examined. There were 14 operative and 8 late deathes (mean, 4.3 months postoperatively). Subsequent operation, generally to repair or palliate associated anomalies, was required 22 times in 20 patients and was a source of considerable mortality. There is evidence that earlier total repair of associated anomalies might improve survival. Sufficient data were available on 17 of the 22 survivors to assess long-term results. The outcome was considered excellent in 8 patients, fair in 4, and poor in 5. Revision of the coarctation repair due to growth failure of the anastomosis was required in 1 patient. Aggressive surgical management is recommended in these infants because, despite a high early mortality, a considerable proportion of excellent results can be anticipated in what is otherwise a hopeless situation.


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More than thirty-five years of coarctation repairAn unexpected high relapse rate
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Copyright © 1977 by The Society of Thoracic Surgeons.