[New strategies in surgical management of coarctation of the aorta 1975-2001].
OBJECTIVE
This article presents the early and late surgical results of 401 newborns and infants among the 569 children with coarctation of aorta who were operated on between 1975-2001.


RESULTS
The early results were dependent on the anatomy of the aortic arch, the age and weight of babies and the types of the associated heart defects. The mortality rate was reduced from 15% (isolated coarctation 7.3%, complex coarctation 34%) to 3.0% (isolated 1.9%, complex 4.9%). 77.3% of 320 infants (follow-up 1 month-26 years, mean: 17 years) were free from re-operation or intervention. The (extended) end-to-end anastomosis and the subclavian flap method produced the best surgical results.


CONCLUSIONS
They suggest the extended end to end anastomosis technique for repair of the aortic arch together with the reconstruction of the associated heart defects in the youngest age if it is possible. The balloon angioplasty of the recoarctation of the aorta produces a good result.
Hartyánszky
István
I
Gottsegen György Országos Kardiológiai Intézet Gyermekszív Központ, Budapest. hartyanszky@hotmail.com
Bodor
Gábor
G
Szatmári
András
A
Király
László
L
Prodán
Zsolt
Z
Mihályi
Sándor
S
Tamás
Csaba
C
Kádár
Krisztina
K
Lozsádi
Károly
K
D000714:Anastomosis, Surgical; D001017:Aortic Coarctation / Q000401:mortality / Q000601:surgery*; D002404:Catheterization; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012008:Recurrence; D016019:Survival Analysis; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods* / Q000639:trends*