Repair of Coarctation of the Aorta in Neonates and Infants: A Thirty-Year Experience
| Autor: | Peter S. Greene, Bruce A. Reitz, Timothy J. Gardner, Jean S. Kan, J.Mark Redmond, A. Marc Gillinov, Kenton J. Zehr, Duke E. Cameron |
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| Rok vydání: | 1995 |
| Předmět: |
Male
Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty Group ii Coarctation of the aorta Anastomosis Aortic Coarctation Resection Postoperative Complications Restenosis Recurrence medicine.artery Methods medicine Humans Abnormalities Multiple Aorta business.industry Incidence (epidemiology) Infant Newborn Infant medicine.disease Surgery Survival Rate El Niño Anesthesia Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 59:33-41 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/0003-4975(94)00825-r |
| Popis: | Between January 1962 and December 1991, 179 children less than 1 year of age underwent repair of coarctation of the aorta. Group I (1962 to 1971) consisted of 19 patients, group II (1972 to 1981) of 57 patients, group III (1982 to 1991) of 103 patients. Neonates (30 days old) made up 60% of group I, 57% of group II, and 70% of group III. The proportion of infants with associated complex cardiac abnormalities was 7% in group I, 25% in group II, and 39% in group III. Techniques of repair included resection with end-to-end anastomosis (n = 65), subclavian flap repair (n = 85), patch aortoplasty (n = 18), and other procedures (n = 11). The early mortality (30 days) was lowest in group III (group I, 21%; group II, 21%; and group III, 7%; p0.05), but the late mortality was similar in all groups (group I, 11%; group II, 13%; and group III, 15%). The overall actuarial survival was 57.7% +/- 0.15% at 27.1 years in group I, 65.7% +/- 0.07% at 19.7 years in group II, and 77.5% +/- 0.04% at 9.3 years in group III (p = not significant). Twenty-five restenoses requiring intervention occurred in 23 patients, for an overall restenosis rate of 16.4%. The incidence of restenosis was 23% for the patients who underwent end-to-end anastomosis, 11% for those who underwent subclavian flap repair (p0.1), and 27% for those who underwent patch aortoplasty (p0.01). Balloon angioplasty was successful in relieving 11 of the 12 restenoses in groups II and III.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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