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Abstract
The results of a recent 5 year experience with resection of coarctation of the aorta
in infants less than 1 year of age are compared with those of an earlier series from
the same institution. The significant improvement in mortality and morbidity statistics
is attributed to modifications in operative and postoperative care. Operative mortality
has decreased from 38 to 17 percent and the incidence rate of significant restenosis
has diminished from 60 to 33 percent. It is suggested that in patients with a large
associated intracardiac shunt banding of the main pulmonary artery should be performed
before resection of the coarctation. Three of five patients have survived procedures
performed in this sequence. Microsurgical techniques and careful approximation of
the aortic lumen with interrupted sutures are the major factors responsible for the
reduced incidence of recoarctation. Prolonged ventilatory support postoperatively
with the occasional addition of controlled positive airway pressure and continued
aggressive medical therapy for heart failure are recommended.
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Article info
Publication history
Accepted:
March 19,
1975
Identification
Copyright
© 1975 Published by Elsevier Inc.
