title: [One-stage complete correction of 52 cases infantile aortic coarctation or interrupted aortic arch associated with intracardiac anomalies].
abstract: OBJECTIVE
  To sum up one-stage complete correction of infantile aortic coarctation (CoA) or interrupted aortic arch (IAA) associated with intracardiac anomalies through median sternotomy.
  
  
  METHODS
  The clinical data of 52 infants with CoA or IAA associated with intracardiac anomalies from May 2004 to March 2010 was analyzed. There were 32 male and 20 female, aged from 25 d to 7 months with a mean of (2.03 ± 0.15) months, weighted from 2.5 to 8.0 kg with a mean of (3.9 ± 0.5) kg. All of intracardiac defect were corrected by self-arcula cordisand. Forty cases with CoA were underwent by operative techniques, including resection with end to side anastomosis, extended end to side anastomosis (n = 34), and vertical incision and cross joint (n = 3). Three cases of pseudo-CoA were cut and ductus arteriosus or ligamentum arteriosus and dissected arch. Twelve cases of IAA were underwent by extended end to side anastomosis.
  
  
  RESULTS
  The time of cardiopulmonary bypass was (98 ± 41) min, and all patients hemorrhaged (78 ± 13) ml during operation. One case of IAA associated with double outlet right ventricle died after 43 d post-operation because of left bronchial stenosis. The other patients were in good condition. The rate of aneurysm formation was 11% in 1 to 6 years' follow-up.
  
  
  CONCLUSIONS
  One-stage complete correction of infantile CoA or IAA associated with intracardiac anomalies through median sternotomy yields excellent intermediate surgical results. This operative approach is beneficial, not only with shorten period of therapy and loss operative cost.
authors.affiliation: Department of Cardiovascular Surgery, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: Bao-Ying
authors.initials: BY
authors.lastname: Meng
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
authors.forename: Chao
authors.initials: C
authors.lastname: Ma
authors.forename: Le
authors.initials: L
authors.lastname: Peng
authors.forename: Yuan-Xiang
authors.initials: YX
authors.lastname: Wang
authors.forename: Xiao-Lan
authors.initials: XL
authors.lastname: Pan
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D056346:Sternotomy / Q000379:methods*