ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Surgical Management of Aortic Coarctation from Infant to Adult
1 Department of Cardiovascular Surgery, Ataturk University School of Medicine, Erzurum, Turkey  
Eurasian J Med ; : -
DOI: 10.5152/eurasianjmed.2017.17273
Key Words: Coarctation of the aorta, surgery, adult
Abstract

Objective: In the present study, we aimed to retrospectively investigate early and late results of different surgical treatment techniques applied in different age groups, with coarctation of the aorta (CoA).

 

Methods: Between January 2007 and February 2017, 26 patients (12 males, 14 females; mean age: 12.2±12.4 years; range: 29 days to 34 years) who underwent surgery with the diagnosis coarctation of the aorta were evalueted. Eleven of these patients (42.3%) were in the infantile period but 15 patients (57.7%)  were between 6 and 34 years old. Resection and end-to-end anastomosis were performed in 13 patients (50%). Bypass grafting was performed in six patients (23.1%) and patch plasty was applied to seven patients (26.9%).

 

Result: One patient (3.8%) who was operated in the infantile period died early, while another patient (3.8%) died two years after the operation. Recoarctation was detected in two patient. One patient was performed balloon dilatation, while another patient was performed balloon dilatation and stenting. In the patients who underwent resection and end-to-end anastomosis based on postoperative echocardiography results during follow-up, the gradient was statistically significantly lower than that of preoperative period. Despite the decrease in the left ventricular systolic diameter (LVSD) and the increase in the ejection fraction (EF), it did not reach statistical significance. In the patients who underwent patch plasty or graft interposition, the low values of gradient and left ventricular diastolic diameter in the postoperative follow-up were statistically significant. However, decrease in LVSD and increase in EF were not statistically significant.

 

Conclusion: Our clinical experience suggests that repairing with resection and end-to-end anastomosis may be a more appropriate treatment option during the infancy, whereas patch plasty or bypass grafting may be preferred in advanced ages. 

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