HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Herrmann, V. M. Articles by Willman, V. L. Search for Related Content PubMed PubMed Citation Articles by Herrmann, V. M. Articles by Willman, V. L.

The Annals of Thoracic Surgery, Vol 25, 57-63, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

Repair of aortic coarctation in the first year of life

VM Herrmann, H Laks, L Fagan, D Terschluse and VL Willman

Twenty-five infants under 1 year of age (mean, 10.3 weeks and 4.0 kg) underwent coarctation repair. Eight had ventricular septal defect (VSD), 3 had transposition of the great arteries with VSD, and 5 had severe tubular hypoplasia. One infant required mitral valve replacement, and 1 required repair of total anomalous pulmonary venous return. Fifteen had repair by primary anastomosis. Seven underwent Dacron or subclavian aortoplasty; the advantages and technique of angioplasty are reviewed. Three patients required bypass grafts. Seventeen patients survived operation. All 5 patients who had severe tubular hypoplasia died postoperatively. The mortality for repair of coarctation with VSD by simultaneous pulmonary artery banding was high; for coarctation with VSD we currently recommend repair without banding, followed by VSD closure if indicated. Three infants have been treated successfully in this manner, with early VSD closure in 1 and regression of the VSD during follow-up in 2. The 17 survivors have been followed for a mean of 41 months with 3 late deaths. Of the 17 survivors, all of whom had a primary anastomosis, 3 have residual gradients. Of the 11 survivors who had preoperative hypertension, 6 are still hypertensive; 3 of these have a gradient between the upper and lower extremities. It is striking that 3 have persistent hypertension despite repair under the age of 1 year.

This article has been cited by other articles:

				A. E. Wood, H. Javadpour, D. Duff, P. Oslizlok, and K. Walsh Is extended arch aortoplasty the operation of choice for infant aortic coarctation? Results of 15 years' experience in 181 patients Ann. Thorac. Surg., April 1, 2004; 77(4): 1353 - 1358. [Abstract] [Full Text] [PDF]

				K. R. Kanter, R. N. Vincent, and D. A. Fyfe Reverse subclavian flap repair of hypoplastic transverse aorta in infancy Ann. Thorac. Surg., May 1, 2001; 71(5): 1530 - 1536. [Abstract] [Full Text] [PDF]

				R. M. H. J. Brouwer, A. H. Cromme-Dijkhuis, M. E. Erasmus, C. Contant, A. J. J. C. Bogers, N. J. Elzenga, T. Ebels, and A. Eijgelaar DECISION MAKING FOR THE SURGICAL MANAGEMENT OF AORTIC COARCTATION ASSOCIATED WITH VENTRICULAR SEPTAL DEFECT J. Thorac. Cardiovasc. Surg., January 1, 1996; 111(1): 168 - 175. [Abstract] [Full Text]