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The Annals of Thoracic Surgery, Vol 40, 46-49, Copyright © 1985 by The Society of Thoracic Surgeons
MS Sweeney, WE Walker, JM Duncan, GL Hallman, JJ Livesay and DA Cooley
To define the safety and efficacy of operation for recurrent thoracic
aortic coarctation, we reviewed the hospital records and subsequent courses
of 53 patients who underwent such procedures over a 23-year period.
Previous operations included end-to-end anastomosis, prosthetic patch or
subclavian flap aortoplasty, and prosthetic interposition or bypass grafts,
performed in patients ranging from 1 day to 44 years old. Several different
reoperative procedures were used, including an ascending-descending aortic
bypass graft in 4 patients who had had two previous repairs. There were no
hospital or late deaths and only 3 relatively minor complications. Only 2
patients have hypertension requiring drug therapy at follow-up, which now
averages 7 years. We conclude that operative management of severe,
recurrent coarctation is both safe and effective, and that several
techniques of reconstruction may have a place in such therapy.
ARTICLES
Reoperation for aortic coarctation: techniques, results, and indications for various approaches
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