title: Outcome of single-stage repair of coarctation with ventricular septal defect.
abstract: BACKGROUND
  The optimal surgical strategy for coarctation of the aorta (CoA) with ventricular septal defect (VSD) is controversial. The aim of this study is to evaluate the clinical outcome of a single-stage repair of CoA with VSD.
  
  
  METHODS
  We reviewed 72 patients who underwent single-stage repair for CoA with VSD between January 1995 and December 2007. There were 43 males and 29 females. The median age of the patients was 28 days (range = 3 to 188) and median weight was 3.7 kg (range = 2.16 to 5.6). Deep hypothermic circulatory arrest was used in 22 patients and selective antegrade cerebral perfusion was performed in 43 patients.
  
  
  RESULTS
  There were no operative deaths and one late death at a median follow-up of 60 months (range = 16 to 158). Postoperative complications were left main bronchus compression requiring aortopexy in one patient and recoarctation requiring balloon dilatation in one patient. Subaortic stenosis occurred in two patients and surgical repair was performed.
  
  
  CONCLUSIONS
  One-stage simultaneous repair can be performed with a low risk at an early age.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Seong Ho
authors.initials: SH
authors.lastname: Cho
authors.forename: Yang Hyun
authors.initials: YH
authors.lastname: Cho
authors.forename: Tae-Gook
authors.initials: TG
authors.lastname: Jun
authors.forename: Ji-Hyuk
authors.initials: JH
authors.lastname: Yang
authors.forename: Pyo Won
authors.initials: PW
authors.lastname: Park
authors.forename: June
authors.initials: J
authors.lastname: Huh
authors.forename: I-Seok
authors.initials: IS
authors.lastname: Kang
authors.forename: Heung Jae
authors.initials: HJ
authors.lastname: Lee
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome