Corresponding author: Y I Ding -hua, E -mail: yidh@fmmu. edu. cn
Abstract: Objective To investigate the optimal surgical approaches for coarctation of aorta (CoA ) associated with heart anomalies (CoA -HA ) in infants through analyzing the immediate and long-term outcome post-operation. Methods From May 1998 to November 2006, 29 patients with CoA -HA were admitted to this institute. Subclavian flap angioplasty was performed in three patients, excision of coarctation and end-to-side anastomoses in six pat ients,and end-to-end anastomoses in the remaining 20 pat ients. Their clinical data were retrospect ively reviewed and the long-term follow -up results obtained through telephone o r letters. Results Three patients died of operations, of whom one died of low cardiac output syndrome, one died of sepsis and one died of multiple organs failure. In two months’to eight years’follow -up , no later death and severe neurological complications were found. Two patients suffered from recurrent coarctation, but had no sense of symptoms and free from re-operation. In all pat ients neither systemic hypertension, nor arterial aneurysm and aortic valve regurgitation were found. Conclusions Mortality of surgical corrections is accepted fo r CoA -HA in infants. Preoperative heart dysfunction and prolonged mechanical ventilation are the high risks of operative death. Recurrent coarctation is the major later comp lication.
Citation： ZHANGJ inzhou,WANG Wen,ZHU Hailong,SUN Guocheng,GU Chunhu,CHEN Tao,LIU Weiyong,YI Ding hua.. Surgical Managemen t for Coarctation of Aorta Associated with Heart Anomalies in Infan ts. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2008, 15(1): 14-16. doi: Copy