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Ann Thorac Surg 1990;49:948-950
© 1990 The Society of Thoracic Surgeons

Articles

Long-term results of direct aortoplasty for repair of aortic coarctation in adults

Leo Heikkinen, MD*, Kari Ala-Kulju, MD

Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication December 7, 1989.

* Address reprint requests to Dr Heikkinen, Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, SF-00290 Helsinki, Finland.

The long-term results of 14 adult patients who underwent a direct aortoplasty for aortic coarctation were reviewed. The mean age of the patients at operation was 31.5 years. Three of the patients died; 1 died perioperatively, and 2 died later of cardiovascular disease. The survivors were followed for 15.8 years. None of the patients had complications at the site of coarctation repair. This contrasts with our earlier findings on patch graft aortoplasties, which showed a high incidence of postoperative aneurysm at the repair site. The etiology of these aneurysms is discussed with reference to the information provided by the present study.




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