Original articlePediatric cardiacRecurrent Coarctation: Is Surgical Repair of Recurrent Coarctation of the Aorta Safe and Effective?
Section snippets
Material and Methods
This study was approved by the Institutional Review Board at Indiana University. The need for individual consent was waived.
Results
One hundred and three patients have presented with recurrent or persistent CoA after an initial repair. There were 54 boys and 49 girls. Median age at reintervention was 6.5 years (range, 2 weeks to 44 years), and median weight was 12 kg (range, 1.9 to 94 kg). Details concerning of their initial aortic repair techniques are outlined in Table 2. Median age at primary repair was 27 days (range, 3 days to 20 years), and median interval from primary repair to reintervention for recurrent aortic
Comment
During the past 45 years, 103 patients presented with recurrent CoA after a primary repair. As in other centers [5, 7], the recurrent rate represents 10% of the patient population treated with surgery. Risk factors for this complication are initial repair at less than 1 month of age and the size and anatomy of the transverse arch [6, 9, 10, 16]. Dodge-Khatami and colleagues [6], in a 40-year meta-analysis review, showed that simple end-to-end anastomosis and subclavian flap repair had the
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Imaging Follow-up of Repaired Aortic Coarctation
2020, Seminars in RoentgenologyCitation Excerpt :Despite good anatomical results with surgical or endovascular intervention, hypertension frequently persists, leading to increased LV afterload, diastolic dysfunction, atherosclerosis, myocardial infarction and heightened risk of aortic dissection.24 Hypertension and LV hypertrophy are among the factors that contribute to premature death from coronary and cerebrovascular disease in patients with repaired coarctation.23 Both true and false aneurysms can develop at the site of coarctation repair.
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
2019, Journal of the American College of CardiologyCoarctation of the aorta
2018, Critical Heart Disease in Infants and Children