Risk of recoarctation should not be a deciding factor in the timing of coarctation repair.
To determine whether early coarctation repair is a significant risk for recoarctation in the modern era, 120 patients, including 87 infants, who underwent isolated coarctation repair at a single institution, were reviewed. At a mean follow-up of 44.4 months, there have were no late reoperations, and 2 patients required balloon aortoplasty. The overall incidence of late reintervention was 1.7%, with only 2.4% (2 of 83) in those <1 year old.
Pearl
Jeffrey M
JM
Division of Pediatric Cardiothoracic Surgery, Children's Hospital Medical Center, and the Department of Surgery, University of Cincinnati, Cincinnati, Ohio 45229, USA. pearj0@chmcc.org
Manning
Peter B
PB
Franklin
Cheri
C
Beekman
Robert
R
Cripe
Linda
L
D001017:Aortic Coarctation / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009820:Ohio / Q000453:epidemiology; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D013997:Time Factors