|
|
||||||||
Ann Thorac Surg 1979;28:346-353
© 1979 The Society of Thoracic Surgeons
Section of Pediatric Cardiac Surgery and Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC.
* Address reprint requests to Dr. Sade, 171 Ashley Ave, Charleston, SC 29403.
We repaired coarctation of the aorta in a group of 18 children less than 3 years old, using either resection with end-to-end anastomosis (8 patients, Group 1) or patch graft aortoplasty (10 patients, Group 2). The two groups were similar preoperatively in age, pressure difference between proximal and distal aorta (
PAO), and severity of aortic arch hypoplasia.
Three patients, all less than 2 months old, died early postoperatively. Among the survivors, the right brachial artery systolic pressure was significantly higher in Group 1 (133.1 ± 7.0 mm Hg) (mean ± standard error of the mean) than in Group 2 (102.5 ± 7.2 mm Hg) (p < 0.05). The
PAO was significantly higher in Group 1 (33.0 ± 7.5 mm Hg) than in Group 2 (5.1 ± 2.3 mm Hg) (p < 0.01). Three patients in Group 1 required reoperation and were treated with patch graft aortoplasty; relief of
PAO was complete in 2. Patch graft aortoplasty is more effective than resection in reducing proximal aortic systolic pressure and in relieving
PAO in infants and small children with coarctation of the aorta.
This article has been cited by other articles:
![]() |
A. Jelly, M. O. Galal, F. Al Fadley, M. de Moor, and Z. Al Halees Influence of Associated Defects and Type of Surgery in Neonatal Aortic Coarctation Asian Cardiovascular and Thoracic Annals, June 1, 1999; 7(2): 115 - 120. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. M. van Son, L. K. Lacquet, and J. G. Vincent Risk of reintervention after coarctation repair Ann. Thorac. Surg., March 1, 1991; 51(3): 521 - 521. [PDF] |
||||
![]() |
I. L. Kron, T. L. Flanagan, K. S. Rheuban, M. A. Carpenter, H. P. Gutgesell Jr, L. H. Blackbourne, and S. P. Nolan Incidence and risk of reintervention after coarctation repair Ann. Thorac. Surg., June 1, 1990; 49(6): 920 - 926. [Abstract] [PDF] |
||||
![]() |
V. A. Kucich, M. N. Ilbawi, M. Reynolds, F. G. Crussi, S. Y. DeLeon, and F. S. Idriss Management of Recurrent Coarctation of the Aorta: A New Experimental Technique Ann. Thorac. Surg., July 1, 1987; 44(1): 53 - 57. [Abstract] [PDF] |
||||
![]() |
E. S. Yee, S. J. Soifer, K. Turley, E. D. Verrier, N. H. Fishman, and P. A. Ebert Infant Coarctation: A Spectrum in Clinical Presentation and Treatment Ann. Thorac. Surg., November 1, 1986; 42(5): 488 - 493. [Abstract] [PDF] |
||||
![]() |
G. S. Kopf, W. Hellenbrand, C. Kleinman, G. Lister, N. Talner, and H. Laks Repair of Aortic Coarctation in the First Three Months of Life: Immediate and Long-Term Results Ann. Thorac. Surg., April 1, 1986; 41(4): 425 - 430. [Abstract] [PDF] |
||||
![]() |
J. W. Brown, A. C. Fiore, and H. King Isthmus Flap Aortoplasty: An Alternative to Subclavian Flap Aortoplasty for Long-Segment Coarctation of the Aorta in Infants Ann. Thorac. Surg., September 1, 1985; 40(3): 274 - 279. [Abstract] [PDF] |
||||
![]() |
R. M. Sade, F. A. Crawford, A. R. Hohn, D. A. Riopel, and A. B. Taylor Growth of the Aorta after Prosthetic Patch Aortoplasty for Coarctation in Infants Ann. Thorac. Surg., July 1, 1984; 38(1): 21 - 25. [Abstract] [PDF] |
||||
![]() |
E. D. Foster Reoperation for Aortic Coarctation Ann. Thorac. Surg., July 1, 1984; 38(1): 81 - 89. [Abstract] [PDF] |
||||
![]() |
U. Hvass and J.-P. Binet Recurrent Coarctation of the Thoracic Aorta: Subclavian Flap Arterioplasty with Carotid Reimplantation of the Distal Subclavian Artery Ann. Thorac. Surg., November 1, 1981; 32(5): 495 - 498. [Abstract] [PDF] |
||||
![]() |
J. Campbell, R. Delorenzi, J. Brown, D. Girod, R. Hurwitz, R. Caldwell, and H. King Improved Results in Newborns Undergoing Coarctation Repair Ann. Thorac. Surg., September 1, 1980; 30(3): 273 - 280. [Abstract] [PDF] |
||||
![]() |
R. M. Sade A New Clamp for Patch Graft Angioplasty of Coarctation of the Aorta Ann. Thorac. Surg., October 1, 1979; 28(4): 401 - 402. [Abstract] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |