Surgical management of coarctation of the aorta in infants younger than five months: a study of fifty-one patients.
From January 1992 to December 1996, fifty-one (male 31) patients underwent operative intervention for coarctation of the aorta. The mean age was 26.8+/-20.3 days. Twenty six patients had simple coarctation and 25 patients had coexisting other complex cardiac anomalies. Coarctation with Hypoplastic aortic arch was seen in 47% of the patients. Resection and end-to-end anastomosis was done on 28 (55%), extended end-to end anastomosis on 22 (43.1%), and one had subclavian flap aortoplasty. The overall mortality was 13.7%. Five of the seven patients who died had additional congenital heart disease (p<0.05). The major cause of death was left ventricular dysfunction following surgery. The mean duration of follow-up was 16. 5+/-12.8 months. The rate of recoarctation was 19.6%. This study shows that associated cardiac anomalies increase the mortality.
Uddin
M J
MJ
Department of Cardiac Surgery, Chest Disease Hospital, P.O.Box. 4082, Safat-13041, Kuwait.
Haque
A E
AE
Salama
A L
AL
Uthman
B C
BC
Abushaban
L A
LA
Shuhaiber
H J
HJ
D000714:Anastomosis, Surgical; D000800:Angioplasty, Balloon; D001017:Aortic Coarctation / Q000401:mortality / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D016019:Survival Analysis