The early and long-term results of surgery for coarcation of the aorta in the 1st year of life

Publisher Website
Google Scholar
Abstract
The cases of 110 infants less than 1 year of age, who had surgicalrepair for coarctation of the aorta between June 1974 and February 1988,were analysed. Three groups of patients were identified. In group 1 therewere 39 patients with isolated coarctation. In group 2 there were 25infants with additional ventricular septal defects (VSD), while in group 3there were 46 infants with other associated congenital cardiac defects.Repair was performed using the subclavian flap aortoplasty (SFA) procedurein 83 patients, resection with end-to-end anastomosis (EEA) in 23, patchaortoplasty in 3 and Goretex tube bypass in 1. Twenty-eight patients hadsimultaneous pulmonary artery banding and one concomitant closure of theVSD. The overall early mortality rate was 8.2% (5.1% in group 1, 0% ingroup 2, and 15.2% in group 3). Age at operation (under 1 month, p = 0.04)and other associated cardiac anomalies (p = 0.03) increased early mortalitysignificantly. There were 11 late deaths (10.8%) among 101 patientsfollowed from 1 to 15 years (mean 5.3 years). Twelve patients underwentfurther surgery for recoarctation, eight of them within 11 months. Afurther 11 patients currently have a Doppler gradient across theircoarctation site of more than 20 mmHg, but have not undergone furthersurgery to the coarctation repair site.

This publication has 0 references indexed in Scilit: