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 Citation Map 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 Lerberg, D. B. Articles by Bahnson, H. T. Search for Related Content PubMed PubMed Citation Articles by Lerberg, D. B. Articles by Bahnson, H. T.

The Annals of Thoracic Surgery, Vol 33, 159-170, Copyright © 1982 by The Society of Thoracic Surgeons

ARTICLES

Coarctation of the aorta in infants and children: 25 years of experience

DB Lerberg, RL Hardesty, RD Siewers, JR Zuberbuhler and HT Bahnson

Repair of coarctation of the aorta was performed in 334 patients ranging from less than a year to 16 years of age at Children's Hospital of Pittsburgh from 1953 to 1977. Resection and end-to-end anastomosis were performed in 310, interposition grafts in 7, and other procedures in 17. There were 41 operative deaths among the 95 infants less than 1 year old (43% mortality); all of these infants had associated cardiac anomalies. Only 1 operative death occurred in patients older than a year (0.4% mortality). No hospital deaths occurred in patients with isolated coarctation of the aorta. Eleven late deaths were due to associated anomalies (7) and unrelated or unknown causes (4). Postoperatively, hemorrhage occurred in 7, paradoxical or persistent hypertension in 128, postcoarctectomy syndrome in 32, neurological problems in 14, pulmonary complications in 53, and infections in 12 patients. Restenosis occurred in 26 patients (8%); only 10 have required reoperation. Residual hypertension was present in 28 of 264 patients (11%). Mortality from coarctation resection remains high in infants, but is minimal in children older than 1 year. Based on minimizing the risk of restenosis and residual hypertension, elective repair of coarctation is recommended when the patient is about 6 years of age.

This article has been cited by other articles:

				S. P. Setty, C. P. Brizard, and Y. d'Udekem Partial Cardiopulmonary Bypass in Infants With Coarctation and Anomalous Right Subclavian Arteries Ann. Thorac. Surg., August 1, 2007; 84(2): 715 - 715. [Full Text] [PDF]

				C. L. Backer, R. D. Stewart, A. M. Kelle, and C. Mavroudis Use of partial cardiopulmonary bypass for coarctation repair through a left thoracotomy in children without collaterals. Ann. Thorac. Surg., September 1, 2006; 82(3): 964 - 972. [Abstract] [Full Text] [PDF]

				J. A. Carr, J. J. Amato, and R. S.D. Higgins Long-Term Results of Surgical Coarctectomy in the Adolescent and Young Adult With 18-Year Follow-Up Ann. Thorac. Surg., June 1, 2005; 79(6): 1950 - 1956. [Abstract] [Full Text] [PDF]

				I. Malagon, W. Onkenhout, G. Klok, P. F. H. van der Poel, J. G. Bovill, and M. G. Hazekamp Gut permeability in paediatric cardiac surgery Br. J. Anaesth., February 1, 2005; 94(2): 181 - 185. [Abstract] [Full Text] [PDF]

				A. Toker, Y. Bayrak, S. Dilege, and G. Kalayci Bronchial sleeve resections for carcinoid tumor in the first decade of life Interactive CardioVascular and Thoracic Surgery, June 1, 2004; 3(2): 280 - 282. [Abstract] [Full Text] [PDF]

				M. M. d. C. Smith Maia, T. M. Cortes, J. R. Parga, L. F. R. de Avila, V. D. Aiello, M. Barbero-Marcial, and M. Ebaid Evolutional aspects of children and adolescents with surgically corrected aortic coarctation: clinical, echocardiographic, and magnetic resonance image analysis of 113 patients J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 712 - 720. [Abstract] [Full Text] [PDF]

				Y. Ko, Y. Nakamura, M. Yoshitake, and T. Inoue Aberrant right subclavian artery with preductal coarctation of the aorta Ann. Thorac. Surg., September 1, 2003; 76(3): 927 - 929. [Abstract] [Full Text] [PDF]

				V. E. Hjortdal, S. Khambadkone, M. R. de Leval, and V. T. Tsang Implications of anomalous right subclavian artery in the repair of neonatal aortic coarctation Ann. Thorac. Surg., August 1, 2003; 76(2): 572 - 575. [Abstract] [Full Text] [PDF]

				I. S. Landsman and P. J. Davis Aortic Coarctation: Anesthetic Considerations Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2001; 5(1): 91 - 97. [Abstract] [PDF]

				J.-M. Grinda, L. Mace, P. Dervanian, T. A. Folliguet, and J.-Y. Neveux Bypass Graft for Complex Forms of Isthmic Aortic Coarctation in Adults Ann. Thorac. Surg., November 1, 1995; 60(5): 1299 - 1302. [Abstract] [Full Text]

				A. C. Ralph-Edwards, W. G. Williams, J. C. Coles, I. M. Rebeyka, G. A. Trusler, and R. M. Freedom Reoperation for Recurrent Aortic Coarctation Ann. Thorac. Surg., November 1, 1995; 60(5): 1303 - 1307. [Abstract] [Full Text]

				C. L. Backer, K. Paape, V. R. Zales, T. J. Weigel, and C. Mavroudis Coarctation of the Aorta : Repair With Polytetrafluoroethylene Patch Aortoplasty Circulation, November 1, 1995; 92(9): 132 - 136. [Abstract] [Full Text]

				K. J. Zehr, A. M. Gillinov, J. M. Redmond, P. S. Greene, J. S. Kan, T. J. Gardner, B. A. Reitz, and D. E. Cameron Repair of Coarctation of the Aorta in Neonates and Infants: A Thirty-Year Experience Ann. Thorac. Surg., January 1, 1995; 59(1): 33 - 41. [Abstract] [Full Text]

				M. C. Mauney, L. H. Blackbourne, S. E. Langenburg, S. A. Buchanan, I. L. Kron, and C. G. Tribble Prevention of Spinal Cord Injury After Repair of the Thoracic or Thoracoabdominal Aorta Ann. Thorac. Surg., January 1, 1995; 59(1): 245 - 252. [Abstract] [Full Text]

				R. M. H. J. Brouwer, M. E. Erasmus, T. Ebels, and A. Eijgelaar Influence of age on survival, late hypertension, and recoarctation in elective aortic coarctation repairIncluding long-term results after elective aortic coarctation repair with a follow-up from 25 to 44 years J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 525 - 531. [Abstract] [Full Text]

				M. Storck, K.-H. Orend, and T. Schmitz-Rixen Absorbable Suture in Vascular Surgery Vascular and Endovascular Surgery, July 1, 1993; 27(6): 413 - 424. [Abstract] [PDF]