HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References 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 Author home page(s): Bruno J. Messmer Carmine Minale Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Messmer, B. J. Articles by Bernuth, G. v. Search for Related Content PubMed PubMed Citation Articles by Messmer, B. J. Articles by Bernuth, G. v.

Ann Thorac Surg 1991;52:594-600
© 1991 The Society of Thoracic Surgeons

---

Articles

Surgical correction of coarctation in early infancy: Does surgical technique influence the result?

Departments of Thoracic and Cardiovascular Surgery and Pediatric Cardiology, University Hospital, Aachen, Germany

^_* Address reprint requests to Dr Messmer, Klinik Thorax-, Herz- und Gefäβchirurgie der RWTH Aachen, D-5100 Aachen, Germany.

Between 1979 and 1988, a total of 53 infants less than 1 year of age underwent repair of coarctation. Thirty-seven patients (70%) were younger than 3 months. Median age was 0.9 month. Four different surgical techniques were used: resection with end-to-end anastomosis, patch enlargement, subclavian flap aortoplasty, and subclavian displacement aortoplasty (Meier-Mendonca technique). Hospital mortality was 7.5% and was limited to patients with additional complex intracardiac defects. Neither age nor surgical technique had an influence on the operative risk. Follow-up averaged 15 to 43 months for the four different groups. Restenosis developed in 9 (19%) of 47 patients regularly followed up, 5 (11%) of whom have had reoperation. Age at operation was not a predictor for restenosis, which occurred in 17.4% of patients less than 1 month and 20.8% of those greater than 1 month of age at operation. Patch enlargement and the subclavian displacement technique demonstrated the highest restenosis rates (42% and 43%, respectively). However, patients who underwent patch enlargement had less favorable pathological conditions. It is concluded that results of coarctation repair in early infancy do not depend as much on the operative method itself as on the specific pathological aspect, which largely determines the method of treatment. Some reservation must be made in regard to the subclavian displacement technique.

This article has been cited by other articles:

				V. Arakelyan, A. Spiridonov, and L. Bockeria Ascending-to-descending aortic bypass via right thoracotomy for complex (re-) coarctation and hypoplastic aortic arch Eur J Cardiothorac Surg, May 1, 2005; 27(5): 815 - 820. [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]

				N. C. Poirier, G. S. Van Arsdell, M. Brindle, G. K. Thyagarajan, J. G. Coles, M. D. Black, R. M. Freedom, and W. G. Williams Surgical treatment of aortic arch hypoplasia in infants and children with biventricular hearts Ann. Thorac. Surg., December 1, 1999; 68(6): 2293 - 2297. [Abstract] [Full Text] [PDF]

				S. Daebritz, B. Fausten, J. Sachweh, E. Muhler, A. Franke, and B. J. Messmer Anatomically positioned aorta ascending-descending bypass grafting via left posterolateral thoracotomy for reoperation of aortic coarctation Eur J Cardiothorac Surg, November 1, 1999; 16(5): 519 - 523. [Abstract] [Full Text] [PDF]

				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]

				S. Victor Patch aortoplasty for coarctation of aorta: Technical considerations Ann. Thorac. Surg., May 1, 1995; 59(5): 1276 - 1277. [PDF]

				L. Zannini, G. Gargiulo, S. B. Albanese, M. C. Santorelli, G. Frascaroli, F. M. Picchio, and A. Pierangeli Aortic coarctation with hypoplastic arch in neonates: A spectrum of anatomic lesions requiring different surgical options Ann. Thorac. Surg., August 1, 1993; 56(2): 288 - 294. [Abstract] [PDF]

				J. A. M. van Son, L. K. Lacquet, and O. Daniels Surgical repair of coarctation of the aorta in infants and children Ann. Thorac. Surg., May 1, 1992; 53(5): 944 - 945. [PDF]

				J. J. Amato, R. J. Galdieri, and J. V. Cotroneo Role of extended aortoplasty related to the definition of coarction of the aorta Ann. Thorac. Surg., September 1, 1991; 52(3): 615 - 620. [Abstract] [PDF]