Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2006 Jan;92(1):90-4.
doi: 10.1136/hrt.2004.058685. Epub 2005 Apr 21.

Outcome after extended arch repair for aortic coarctation

J D R Thomson  1 , A Mulpur, R Guerrero, Z Nagy, J L Gibbs, K G Watterson
Affiliations

Outcome after extended arch repair for aortic coarctation

J D R Thomson et al. Heart. 2006 Jan.

Abstract

Objectives: To assess survival and long term arch patency rates in a consecutive group of children after extended arch repair for coarctation of the aorta.

Methods: Review of 191 consecutive children (154 (81%) under 1 year of age) operated on between 1990 and 2002 by a single surgeon using extended arch reconstructive techniques. For assessment of survival patients were divided into three groups: 1, coarctation alone, n = 104; 2, coarctation and ventricular septal defect, n = 38; and 3, coarctation in association with complex intracardiac anomalies, n = 49. A prospective and systematic clinical and echocardiographic evaluation of the aortic arch was undertaken.

Results: Median time to follow up was 4.2 years (range 1-10.6 years). Overall actuarial survival was 92%, 88%, and 88% at two, five, and 10 years. Mortality was significantly higher in those patients with complex intracardiac anatomy. Arch obstruction recurred in seven of 165 (4.2%) patients: four of 139 (2.9%) term and three of 10 (30%) premature infants (p < 0.001).

Conclusions: Survival after extended arch reconstruction for coarctation is excellent. At long follow up recurrent arch obstruction is rare, with prematurity the only risk factor.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Cardiovasc Surg 194514347–352.
    1. Williams W G, Shindo G, Trusler G A.et al Results of repair of coarctation of the aorta during infancy. J Thorac Cardiovasc Surg 198079603–608. - PubMed
    1. Sanchez G R, Balsara R K, Dunn J M.et al Recurrent obstruction after subclavian flap repair of coarctation of the aorta in infants. J Thorac Cardiovasc Surg 198691738–746. - PubMed
    1. Ziemer G, Jonas R A, Perry S B.et al Surgery for coarctation of the aorta in the neonate. Circulation 198674(su1) pp 25–1) pp 31. - PubMed
    1. Kappetein A P, Zwinderman A H, Bogers A J.et al More than thirty‐five years of coarctation repair: an unexpected high relapse rate. J Thorac Cardiovasc Surg 199410787–95. - PubMed