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Influence of Associated Defects and Type of Surgery in Neonatal Aortic Coarctation

Department of Cardiovascular Diseases King Faisal Specialist Hospital & Research Centre Riyadh, Saudi Arabia

For reprint information contact: Mohammed Omar Galal, MD, PhD Tel: 966 1 464 7272 Ext 32056 Fax: 966 1 442 5717 email: galal{at}kfshrc.edu.sa Department of Cardiovascular Diseases (MBC 16), King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, Riyadh 11211, Saudi Arabia.

We reviewed our 12-year experience of surgical treatment for aortic coarctation in 86 neonates. Twenty-three patients had simple coarctation, 38 had an associated large ventricular septal defect, and 25 had complex intracardiac defects. The surgical techniques included subclavian flap angioplasty in 54 (63%), combined resection with end-to-end anastomosis augmented by a subclavian flap in 22 (26%), resection with extended end-to-end anastomosis in 7 (8%), and patch aortoplasty in 3 (3%). Five patients required additional transverse aortic arch augmentation. Hospital mortality was 14% (12/86) and was not related to the type of repair but associated pathology increased the operative risk. Late mortality was 11% (8/74) within one year of repair. Recoarctation developed in 5 patients (7%) within one year. No recoarctation was observed in the group repaired by end-to-end anastomosis augmented by a subclavian flap (p = 0.04).

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				A. F. Corno, U. Botta, M. Hurni, M. Payot, N. Sekarski, P. Tozzi, and L. K. von Segesser Surgery for aortic coarctation: a 30 years experience Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1202 - 1206. [Abstract] [Full Text] [PDF]