[Coarctation of the aorta].
The surgical outcome of neonatal and infantile coarctation of the aorta has been improved dramatically in recent years. Not only the improvement of perioperative management based on the better understanding of the pathophysiology but the improvement of the surgical procedure made the successful outcome. There are still, however, several controversial aspects of surgical management: How to select surgical technique? How to fix the distal or transverse aortic arch hypoplasia? How to approach the intracardiac defect? How to protect spinal cord? Postoperative recoarctation in adult age will be mostly concerned in recent years. Surgeons have to aware all these short- and long-term problems when fixing this particular cardiac lesion. Now I want to discuss this not-unusual and relatively complex heart disease in this article.
Sekiguchi
Akihiko
A
Department of Cardiovascular Surgery, National Center for Child Health and Development, Tokyo, Japan.
D001017:Aortic Coarctation / Q000175:diagnosis* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004452:Echocardiography; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D014057:Tomography, X-Ray Computed / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods