title: [Subaortic diaphragm surgery].
abstract: Subaortic diaphragm is characterized by a certain clinical latency and low morbi-mortality. Surgery remains the treatment of choice despite the real risk of long-term recurrence. Our study involved 18 patients with subaortic diaphragm operated between April 1994 and March 2011. The average age was 18.1 ± 9.7 years, 11 patients were male. The diaphragm was fibrous in 13 patients and fibromuscular in 5 patients. All patients underwent diaphragm resection associated with myectomy, aortic plasty, closure of ventricular septal defect and permeable ductus arteriosus ligation in 3, 3, 2 and 2 patients respectively. Operative mortality was zero and there were no cases of postoperative conduction disorder. With a median follow-up of 44.3±36.8 months, there was no late death. Two patients had a diaphragm recurrence which required reoperation with good evolution. The current trend in diaphragm surgery is towards early interventions and more extensive resections. However, the risk of recurrence requires a systematic and close ultrasound monitoring.
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Younes
authors: Y
authors: Moutakiallah
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Ilham
authors: I
authors: Maaroufi
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Mahdi
authors: M
authors: Aithoussa
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Mehdi
authors: M
authors: Bamous
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Abdessamad
authors: A
authors: Abdou
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Noureddine
authors: N
authors: Atmani
authors: Réanimation de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Abdedaïm
authors: A
authors: Hatim
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Brahim
authors: B
authors: Amahzoune
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Youssef El
authors: YE
authors: Bekkali
authors: Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors: Abdelatif
authors: A
authors: Boulahya
mesh_terms: D000293:Adolescent; D000328:Adult; D001011:Aorta / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D008297:Male; D012086:Reoperation; D055815:Young Adult
keywords: Subaortic diaphragm; recurrence; surgery