|
|
||||||||
The Annals of Thoracic Surgery, Vol 28, 346-353, Copyright © 1979 by The Society of Thoracic Surgeons
RM Sade, AB Taylor and EP Chariker
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 (delta PA0), 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 less than 0.05). The delta
PA0 was significantly higher in Group 1 (33.0 +/- 7.5 mm Hg) than in Group
2 (5.1 +/- 2.3 mm Hg) (p less than 0.01). Three patients in Group 1
required reoperation and were treated with patch graft aortoplasty; relief
of delta PO0 was complete in 2. Patch graft aortoplasty is more effective
than resection in reducing proximal aortic systolic pressure and in
relieving delta PA0 in infants and small children with coarctation of the
aorta.
ARTICLES
Aortoplasty compared with resection for coarctation of the aorta in young children
This article has been cited by other articles:
![]() |
A. Jelly, 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 Cardiovasc Thorac Ann, June 1, 1999; 7(2): 115 - 120. [Abstract] [Full Text] [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 |