| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1994;58:399-403
© 1994 The Society of Thoracic Surgeons
Department of Cardiac and Thoracic Surgery and Division of Pediatric Cardiology, Vanderbilt University School of Medicine, Nashville, Tennessee USA
* Address reprint requests to Dr Merrill, Department of Cardiac and Thoracic Surgery, Room 2986, The Vanderbilt Clinic, Nashville, TN 37232.
The risk factors for the operative mortality and long-term durability of repair after surgical correction of coarctation of the aorta in neonates remain controversial. Between January 1970 and January 1993, 139 patients under 1 month of age underwent repair of coarctation of the aorta. Complex intracardiac defects were present in 59 patients. Another 44 patients had an associated ventricular septal defect Subclavian artery flap repair was performed in 92 patients; end-to-end anastomosis (38 patients) and patch angioplasty (9 patients) were performed less commonly. The hospital mortality was significantly higher in patients with complex intracardiac defects (9 of 59 patients; 15.2%) than in those with a ventricular septal defect (1 of 44 patients; 2.3%) or with isolated coarctation (none of 36 patients; p = 0.007). Elevated pulmonary artery diastolic pressure (p = 0.041) and complex intracardiac anomalies (p = 0.048) were found to be independent predictors of hospital mortality. The presence of a complex cardiac defect (p < 0.001) was an independent predictor of poor long-term survival. Recurrent stenosis requiring reoperation had occurred or balloon dilation had been necessary in 27.9% of the children at 5 years postoperatively. In patients followed up for at least 5 years, the recurrence-free survival was better in those who had undergone subclavian artery flap repair than in those who had undergone end-to-end repair (p = 0.017). When coarctation of the aorta must be repaired in the neonate, operative mortality and long-term survival are affected by the complexity of associated intracardiac anomalies. The subclavian artery flap repair of aortic coarctation in neonates was found to result in a lower rate of recurrent stenosis in patients followed up for at least 5 years postoperatively.
This article has been cited by other articles:
|
|
 |
|
  M. Kobayashi, M. Ando, N. Wada, and Y. Takahashi Outcomes following surgical repair of aortic arch obstructions with associated cardiac anomalies Eur J Cardiothorac Surg, April 1, 2009; 35(4): 565 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Alsoufi, S. Cai, J. G. Coles, W. G. Williams, G. S. Van Arsdell, and C. A. Caldarone Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects Ann. Thorac. Surg., October 1, 2007; 84(4): 1331 - 1337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pandey, M. Jackson, S. Ajab, G. Gladman, and M. Pozzi Subclavian Flap Repair: Review of 399 Patients at Median Follow-Up of Fourteen Years Ann. Thorac. Surg., April 1, 2006; 81(4): 1420 - 1428. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. C. Fiore, L. K. Fischer, T. Schwartz, S. Jureidini, I. Balfour, D. Carpenter, D. Demello, K. S. Virgo, D. G. Pennington, and R. G. Johnson Comparison of Angioplasty and Surgery for Neonatal Aortic Coarctation Ann. Thorac. Surg., November 1, 2005; 80(5): 1659 - 1665. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Walhout, J. C. Lekkerkerker, G. H. Oron, G. B. W. E. Bennink, and E. J. Meijboom Comparison of surgical repair with balloon angioplasty for native coarctation in patients from 3 months to 16 years of age Eur J Cardiothorac Surg, May 1, 2004; 25(5): 722 - 727. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis and R. M. Sade The Southern Thoracic Surgical Association 50th anniversary celebration: the impact of STSA pediatric cardiothoracic surgery manuscripts on surgical practice Ann. Thorac. Surg., November 1, 2003; 76(90050): S47 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Younoszai, V. M. Reddy, F. L. Hanley, and M. M. Brook Intermediate term follow-up of the end-to-side aortic anastomosis for coarctation of the aorta Ann. Thorac. Surg., November 1, 2002; 74(5): 1631 - 1634. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. B. McElhinney, S.-G. Yang, A. N. Hogarty, J. Rychik, M. M. Gleason, C. H. Zachary, J. J. Rome, T. R. Karl, W. M. DeCampli, T. L. Spray, et al. Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants: Is low weight a risk factor? J. Thorac. Cardiovasc. Surg., November 1, 2001; 122(5): 883 - 890. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Isomatsu, Y. Imai, T. Shin'oka, M. Aoki, and K. Sato Coarctation of the aorta and ventricular septal defect: Should we perform a single-stage repair? J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 524 - 528. [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]
|
|
|
|
|
|
M. Asano, A. Mishima, S. Yamamoto, T. Saito, and T. Manabe Modified subclavian flap aortoplasty for coarctation repair in patients less than three months of age Ann. Thorac. Surg., August 1, 1998; 66(2): 588 - 589. [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]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
