Evaluation of optimum time for surgical repair of coarctation of the aorta.
The results of 182 patients operated upon for coarctation of the aorta from 1953 to 1976 were reviewed. The youngest patient was three weeks old, the eldest, 60 years. One hudnred and twenty-three patients had coarctation without complications, while 59 had other cardiovascular lesions. An end-to-end anastomosis was carried out in 144 patients. Artificial grafts were inserted in 33 patients, while individual techniques were applied in five patients. There were four peroperative deaths, five postoperative deaths and four late deaths. All of these patients had multiple cardiovascular lesions. With respect to the peroperative and postoperative complications and the effect of operation on blood pressure, correction of coarctation of the aorta should be carried out between the ages of five and 15 years.
D000293:Adolescent; D000328:Adult; D001017:Aortic Coarctation / Q000150:complications / Q000401:mortality / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors