Coarctation of the Aorta in Children: Late Results After Surgery

Autor: Beerman, Lee B., Neches, William H., Patnode, Roger E., Fricker, Frederick J., Mathews, Robert A., Park, Sang C.
Zdroj: American Journal of Diseases of Children; May 1980, Vol. 134 Issue: 5 p464-466, 3p
Abstrakt: • From 1960 to 1970, 110 patients underwent operation for coarctation of the aorta. The overall mortality was 23%. However, in infants operated on at less than 6 months of age, the mortality was 63%, whereas there was only a 4% mortality in those operated on after 6 months of age. Late follow-up was available in 87 patients from five to 15 years postoperatively. There was a 14% frequency of recoarctation in the group of long-term survivors. Systemic hypertension, defined as an upper extremity blood pressure greater than 140/90 mm Hg, was found in 23% of the survivors. This study has demonstrated a significant frequency of postcoarctectomy hypertension and residual hemodynamic and angiographic abnormalities in patients without clinical evidence of recoarctation. This indicates the need for continued long-term follow-up of these patients.(Am J Dis Child 134:464-466, 1980)
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