계명대학교 의학도서관 Repository

Mid-Term Outcomes of Repair of Coarctation of Aorta With Hypoplastic Arch: Extended End-to-side Anastomosis Technique.

Metadata Downloads
Author(s)
Eung Re KimWoong-Han KimJinhae NamKwangho ChoiWoo Sung JangJae Gun Kwak
Keimyung Author(s)
Jang, Woo Sung
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Seminars in Thoracic and Cardiovascular Surgery
Issued Date
2017
Volume
29
Issue
4
Keyword
arch hypoplasiacoarctationend-to-side anastomosishypertension
Abstract
The optimal surgical repair technique for coarctation associated with aortic arch hypoplasia (CoA-AAH) in neonates and infants is controversial. This study evaluates our current strategy using extended end-to-side anastomosis under selective cerebral and myocardial perfusion in treating this group of patients. Through a retrospective review, we analyzed the outcome of 87 infants who underwent surgical repair of CoA-AAH from January 2004 to December 2015. Patients with functional single ventricle were excluded. There were no early mortalities, and 4 patients (4.6%) experienced early complications. Eighty-five patients (97.7%) were followed up during a mean duration of 6.1 ± 3.53 years. There were 2 late mortalities (2.3%) and 3 reintervention (3.5%) of the aortic arch. Ten-year overall survival and freedom from reintervention for the entire cohort was 97.7% and 96.3%, respectively. At last follow-up, 4 patients (4.5%) showed a peak velocity greater than 2.5 m/s across the repair site. Seven patients (8.2%) were hypertensive. Our strategy with extended end-to-side anastomosis under selective cerebral and myocardial perfusion is safe and effective for repairing CoA-AAH in neonates and infants. Concomitant repair of associated cardiac anomalies can be done without added risk. Mid-term results are excellent with low rates of mortality, reintervention, and late hypertension.
Keimyung Author(s)(Kor)
장우성
Publisher
School of Medicine (의과대학)
Citation
Eung Re Kim et al. (2017). Mid-Term Outcomes of Repair of Coarctation of Aorta With Hypoplastic Arch: Extended End-to-side Anastomosis Technique. Seminars in Thoracic and Cardiovascular Surgery, 29(4), 517–523. doi: 10.1053/j.semtcvs.2017.10.002
Type
Article
ISSN
1043-0679
Source
https://linkinghub.elsevier.com/retrieve/pii/S1043-0679(17)30289-7
DOI
10.1053/j.semtcvs.2017.10.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41354
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.