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 Trinquet, F. Articles by Neveux, J. Y. Search for Related Content PubMed PubMed Citation Articles by Trinquet, F. Articles by Neveux, J. Y.

The Annals of Thoracic Surgery, Vol 45, 186-191, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Coarctation of the aorta in infants: which operation?

F Trinquet, PR Vouhe, F Vernant, G Touati, PM Roux, G Pome, F Leca and JY Neveux
Department of Thoracic and Cardiovascular Surgery, Hopital Laennec, Paris, France.

In this series, 178 infants (age, less than or equal to 3 months old) underwent repair of aortic coarctation. Pure coarctation was present in 63 patients (Group 1), 47 infants had additional ventricular septal defects (Group 2), and 68 patients had associated complex heart disease (Group 3). Subclavian flap angioplasty was used in 26 patients, limited resection and end-to-end anastomosis in 45 patients, extended resection and end-to-end anastomosis in 99 patients, and miscellaneous procedures in 8 infants. The early mortality was 8% for the first group, 11% for the second group, and 37% for the third group (p less than 0.001). Mean follow-up was 32 months and included 97% of patients. Actuarial survival at five years was 90% for the first group, 84% for the second group, and 40% for the third group. Recoarctation occurred in 15 operative survivors (11%); 7 necessitated reoperation. Freedom from recoarctation at five years was 89% after subclavian flap angioplasty, 81% after end-to-end anastomosis, and 86% following extended resection and end-to-end anastomosis. Early mortality and late results were not influenced by the type of coarctation repair but were determined by the clinical status and the presence of associated major cardiac anomalies. These results suggest that the surgical procedure should be individualized for each infant to optimize the aortic anatomy.

This article has been cited by other articles:

				G. Gargiulo, G. Oppido, E. Angeli, and C. P. Napoleone Neonatal aortic arch surgery MMCTS, July 23, 2007; 2007(0723): 2345. [Abstract] [Full Text] [PDF]

				C. J. Barreiro, T. A. Ellison, J. A. Williams, M. L. Durr, D. E. Cameron, and L. A. Vricella Subclavian flap aortoplasty: still a safe, reproducible, and effective treatment for infant coarctation Eur. J. Cardiothorac. Surg., April 1, 2007; 31(4): 649 - 653. [Abstract] [Full Text] [PDF]

				C. D. Sudarshan, A. D. Cochrane, Z. H. Jun, R. Soto, and C. P. Brizard Repair of coarctation of the aorta in infants weighing less than 2 kilograms. Ann. Thorac. Surg., July 1, 2006; 82(1): 158 - 163. [Abstract] [Full Text] [PDF]

				G. E. Wright, C. A. Nowak, C. S. Goldberg, R. G. Ohye, E. L. Bove, and A. P. Rocchini Extended Resection and End-to-End Anastomosis for Aortic Coarctation in Infants: Results of a Tailored Surgical Approach Ann. Thorac. Surg., October 1, 2005; 80(4): 1453 - 1459. [Abstract] [Full Text] [PDF]

				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]

				P. Narasinga Rao, R. N. S. Kumar, D. Anil Kumar, H. M. Mohmoud, S. Chandran, A. K. Dhir, D. K. Saxena, S. P. Azhagappan, V. R. Pillai, C. G. Venkitachalam, et al. Coarctation of the Aorta in Neonates And Young Infants: Surgical Experience Asian Cardiovasc Thorac Ann, December 1, 2002; 10(4): 310 - 313. [Abstract] [Full Text] [PDF]

				B. S. Allen, A. O. Halldorsson, M. J. Barth, and M. N. Ilbawi Modification of the subclavian patch aortoplasty for repair of aortic coarctation in neonates and infants Ann. Thorac. Surg., March 1, 2000; 69(3): 877 - 880. [Abstract] [Full Text] [PDF]

				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]

				P. A. Seirafi, K. G. Warner, R. L. Geggel, D. D. Payne, and R. J. Cleveland Repair of coarctation of the aorta during infancy minimizes the risk of late hypertension Ann. Thorac. Surg., October 1, 1998; 66(4): 1378 - 1382. [Abstract] [Full Text] [PDF]

				H. Hovaguimian, V. Senthilnathan, J. P. Iguidbashian, D. M. McIrvin, and A. Starr Coarctation Repair: Modification of End-to-End Anastomosis With Subclavian Flap Angioplasty Ann. Thorac. Surg., June 1, 1998; 65(6): 1751 - 1754. [Abstract] [Full Text] [PDF]

				S. Conte, F. Lacour-Gayet, A. Serraf, M. Sousa-Uva, J. Bruniaux, A. Touchot, C. Planche, and S. b. A. Castaneda Surgical management of neonatal coarctation J. Thorac. Cardiovasc. Surg., April 1, 1995; 109(4): 663 - 675. [Abstract] [Full Text]

				L. W. E. van Heurn, C. M. Wong, D. J. Spiegelhalter, K. Sorensen, M. R. de Leval, J. Stark, and M. J. Elliott Surgical treatment of aortic coarctation in infants younger than three months: 1985 to 1990Success of extended end-to-end arch aortoplasty J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 74 - 86. [Abstract] [Full Text]

				A. P. Kappetein, A. H. Zwinderman, A. J. J. C. Bogers, J. Rohmer, and H. A. Huysmans More than thirty-five years of coarctation repairAn unexpected high relapse rate J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 87 - 95. [Abstract] [Full Text]

				T. Sarioglu, K. Suzer, A. Akcevin, A. Sarioglu, B. Polat, and A. Aytac A New Surgical Technique for Repair of Aortic Coarctation Vascular and Endovascular Surgery, March 1, 1992; 26(2): 103 - 108. [Abstract] [PDF]