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 van Son, J. A. Articles by Lacquet, L. K. Search for Related Content PubMed PubMed Citation Articles by van Son, J. A. Articles by Lacquet, L. K.

The Annals of Thoracic Surgery, Vol 48, 496-502, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Appraisal of resection and end-to-end anastomosis for repair of coarctation of the aorta in infancy: preference for resection

JA van Son, O Daniels, JG Vincent, HJ van Lier and LK Lacquet
Department of Thoracic and Cardiac Surgery, Academic Hospital Nijmegen, The Netherlands.

Between 1973 and 1987, 70 consecutive infants under-went repair of coarctation of the aorta. Age at operation was 80.0 +/- 77 days (mean +/- standard deviation); mean weight was 3.0 +/- 0.5 kg. Isolated coarctation was present in 25 patients (group 1); in 19 patients coarctation existed in association with ventricular septal defect (group 2); and in 26 patients coarctation was associated with major intracardiac defects (group 3). Subclavian flap angioplasty was performed in 19 patients and resection and end-to-end anastomosis in 51 patients. Hospital mortality was not significantly different between subclavian flap angioplasty (11%) and resection and end-to-end anastomosis (24%). Freedom from reintervention for recoarctation after 5 years was 87% in the subclavian flap angioplasty group and 95% in the group having resection and end-to-end anastomosis. Actuarial survival at 5 years was 100% for group 1, 73% for group 2, and 28% for group 3. In the subclavian flap angioplasty group, we observed detrimental effects of the sacrifice of the left subclavian artery: 1 patient had a 2.5-cm shortening of the left upper arm, and 5 others complained of claudication in the left upper limb during strenuous exercise. As no major advantage in terms of mortality and recoarctation to either technique of coarctation repair was found, and as subclavian flap angioplasty carries the possible disadvantage of late contracture of isthmic ductal tissue and possible detrimental effects on the left upper limb, resection and end-to-end anastomosis is recommended.

This article has been cited by other articles:

				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]

				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]

				T. Huttl, L. Entz, K. Huttl, E. Bodor, and Z. Szabolcs 25-year follow-up of 88 cases with homograft aortic conduits for coarctation repair: Reply Ann. Thorac. Surg., March 1, 2003; 75(3): 1067 - 1068. [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]

				A. G. Sakopoulos, T. L. Hahn, M. Turrentine, and J. W. Brown Recurrent aortic coarctation: Is surgical repair still the gold standard? J. Thorac. Cardiovasc. Surg., October 1, 1998; 116(4): 560 - 565. [Abstract] [Full Text] [PDF]

				H. A. Rajasinghe, V. M. Reddy, J. A. M. van Son, M. D. Black, D. B. McElhinney, M. M. Brook, and F. L. Hanley Coarctation Repair Using End-to-Side Anastomosis of Descending Aorta to Proximal Aortic Arch Ann. Thorac. Surg., March 1, 1996; 61(3): 840 - 844. [Abstract] [Full Text]

				D. J. Barron, R. K. Lamb, B. C. Ogilvie, and J. L. Monro Technique for Extraanatomic Bypass in Complex Aortic Coarctation Ann. Thorac. Surg., January 1, 1996; 61(1): 241 - 244. [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]

				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]